MEDICAL CENTER PAIN CLINIC, PLLC
NPI 1477829554
Clinic/Center - Pain in Oklahoma City, OK
NPI Status: Active since March 22, 2012
Contact Information
1226 N SHARTEL AVE
SUITE 300
OKLAHOMA CITY, OK
ZIP 73103
Phone: (405) 232-8003
Fax: (405) 232-8808
- Organization
- Clinic/Center
- Pain
- CLIA Number: 37D2314186
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-13-2026
About MEDICAL CENTER PAIN CLINIC, PLLC
This page provides the complete NPI Profile along with additional information for Medical Center Pain Clinic, Pllc, a provider established in Oklahoma City, Oklahoma operating as a Clinic/center, focusing in pain . The healthcare provider is registered in the NPI registry with number 1477829554 assigned on March 2012. The practitioner's primary taxonomy code is 261QP3300X with license number 15874 (OK). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Dr. David Paul Ellis Md (Registered Agent)
- NPI
- 1477829554
- Provider Name
- MEDICAL CENTER PAIN CLINIC, PLLC
- Entity Type
- Organization
- Location Address
- 1226 N SHARTEL AVE SUITE 300 OKLAHOMA CITY, OK 73103
- Location Phone
- (405) 232-8003
- Location Fax
- (405) 232-8808
- Mailing Address
- 2700 NE 63RD ST OKLAHOMA CITY, OK 73111
- Mailing Phone
- (405) 271-5859
- Mailing Fax
- (405) 232-8808
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-22-2012
- Last Update Date
- 07-14-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Pain
- Taxonomy Code
- 261QP3300X
- Type
- Ambulatory Health Care Facilities
- License No.
- 15874
- License State
- OK
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200432890A | MEDICAID (05) | OK |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 37D2314186
- Facility Type
- Physician Office
- Certificate Effective Date
- November 14, 2024
- Certificate Expiration Date
- November 13, 2026
- Laboratory Director
- ANGELIA DOOLEY
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Medical Center Pain Clinic, Pllc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1477829554, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
OKLAHOMA CITY, OK 73103
OKLAHOMA CITY, OK 73103
OKLAHOMA CITY, OK 73103
OKLAHOMA CITY, OK 73103
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477829554, enumerated as an "organization" on March 22, 2012.
The provider is located at 1226 N SHARTEL AVE SUITE 300 OKLAHOMA CITY, OK 73103 and the phone number is (405) 232-8003.
Clinic/Center with taxonomy code 261QP3300X and a focus in Pain.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
