GENESIS MEDICAL PLLC
NPI 1285434233
Anesthesiology - Pain Medicine in Ardmore, OK

Active since March 18, 2025
2002 12TH AVE NW STE B, ARDMORE, OK 73401(580) 221-2022 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 24, 2025, Mar 18, 2025 (2 updates tracked since 2025).

About Genesis Medical Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENESIS MEDICAL PLLC (NPI 1285434233) is a healthcare organization registered as a pain medicine in Ardmore, Oklahoma and active in the NPI registry since March 2025. The organization lists Sherry Lynne Clark, Billing/credentialing, as its authorized official.

NPPES Registry Identity

NPI1285434233
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameGENESIS MEDICAL PLLC
Location Address2002 12TH AVE NW STE BArdmore, OK 73401-1206
Mailing Address2002 12th Ave Nw Ste BArdmore, OK 73401-1206
Organization SubpartNo
Authorized OfficialSherry Lynne ClarkBilling/credentialing · (580) 223-5180
Enumeration DateMarch 18, 2025
Last NPPES UpdateMarch 24, 20252 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
NPI 1285434233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
2002 12TH AVE NW STE B, Ardmore, OK 73401

Other Names 2

Doing Business AsGenesis Medical Pllc
Other NameSouthern Oklahoma Bone & Joint P C

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Surgical)
2002 12TH AVE NW STE B
ARDMORE, OK 73401
Nurse Practitioner (Family)
2002 12TH AVE NW STE B
ARDMORE, OK 73401
Anesthesiology (Pain Medicine)
2002 12TH AVE NW STE B
ARDMORE, OK 73401
Anesthesiology (Pain Medicine)
2002 12TH AVE NW STE B
ARDMORE, OK 73401
Anesthesiology
2002 12TH AVE NW STE B
ARDMORE, OK 73401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Genesis Medical PLLC's NPI number?

The NPI number for Genesis Medical PLLC is 1285434233. It was assigned to this organization in the NPPES registry on March 18, 2025. The provider is also known as Southern Oklahoma Bone & Joint P C.

Where is Genesis Medical PLLC located?

Genesis Medical PLLC is located at 2002 12th Ave NW Ste B, Ardmore, OK 73401. The listed phone number is (580) 221-2022.

What is Genesis Medical PLLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

When was this NPI record last updated?

The NPPES record for Genesis Medical PLLC was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.