MEDICAL CENTER PAIN CLINIC, PLLC
NPI 1477829554
Clinic/Center - Pain in Oklahoma City, OK

Active since March 22, 2012CLIA Certified · 2 labs
1226 N SHARTEL AVE, SUITE 300, OKLAHOMA CITY, OK 73103(405) 232-8003(405) 232-8808 Get Directions Write a Review

NPPES record last updated: July 14, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medical Center Pain Clinic, Pllc NPPES

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

MEDICAL CENTER PAIN CLINIC, PLLC (NPI 1477829554) is a healthcare organization registered as a pain in Oklahoma City, Oklahoma and active in the NPI registry since March 2012. The organization holds 2 active CLIA laboratory certificates and lists David Paul Ellis, Registered Agent, as its authorized official.

NPPES Registry Identity

NPI1477829554
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NameMEDICAL CENTER PAIN CLINIC, PLLC
Location Address1226 N SHARTEL AVE, SUITE 300Oklahoma City, OK 73103
Mailing Address2700 Ne 63rd StOklahoma City, OK 73111-8305 · (405) 271-5859 · Fax (405) 232-8808
Fax(405) 232-8808
Organization SubpartNo
Authorized OfficialDavid Paul EllisRegistered Agent · (405) 232-8003
Enumeration DateMarch 22, 2012
Last NPPES UpdateJuly 14, 2018
NPI 1477829554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
License Licensed in OK · 15874
1226 N SHARTEL AVE, Oklahoma City, OK 73103

Other Identifiers 1

Medicaid200432890AOK

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2073706

Medical Center Pain Clinic, LLC · Oklahoma City, OK
Active · expires Dec 31, 2027
CLIA Number37D2073706
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorTimothy Luke Cramer
Laboratory Phone(405) 232-8003
Laboratory LocationMedical Center Pain Clinic, LLC1226 N Shartel Ave, Suite 300, Oklahoma City, OK 73103
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 37D2314186

Medical Center Pain Clinic, LLC · Oklahoma City, OK
Active · expires Nov 13, 2026
CLIA Number37D2314186
Laboratory TypePhysician Office
Certificate Effective DateNovember 14, 2024
Certificate Expiration DateNovember 13, 2026
Laboratory DirectorAngelia Dooley
Laboratory Phone(405) 761-8000
Laboratory LocationMedical Center Pain Clinic, LLC1226 N Shartel, Ste 300, Oklahoma City, OK 73103
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 8

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

Physician Assistant (Medical)
1226 N SHARTEL AVE
OKLAHOMA CITY, OK 73103
Specialist/Technologist Cardiovascular
1226 N SHARTEL AVE, SUITE 300
OKLAHOMA CITY, OK 73103
Pain Medicine (Interventional Pain Medicine)
1226 N SHARTEL AVE, SUITE 300
OKLAHOMA CITY, OK 73103
Specialist
1226 N SHARTEL AVE, SUITE 300
OKLAHOMA CITY, OK 73103
Internal Medicine
1226 N SHARTEL AVE, SUITE 300B
OKLAHOMA CITY, OK 73103
Physician Assistant
1226 N SHARTEL AVE
OKLAHOMA CITY, OK 73103
Anesthesiology (Pain Medicine)
1226 N SHARTEL AVE, SUITE 300
OKLAHOMA CITY, OK 73103
Internal Medicine (Pulmonary Disease)
1226 N SHARTEL AVE, STE 100
OKLAHOMA CITY, OK 73103

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 Medical Center Pain Clinic, PLLC's NPI number?

The NPI number for Medical Center Pain Clinic, PLLC is 1477829554. It was assigned to this organization in the NPPES registry on March 22, 2012.

Where is Medical Center Pain Clinic, PLLC located?

Medical Center Pain Clinic, PLLC is located at 1226 N Shartel Ave Suite 300, Oklahoma City, OK 73103. The listed phone number is (405) 232-8003.

What is Medical Center Pain Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

Does Medical Center Pain Clinic, PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Medical Center Pain Clinic, PLLC was last updated on July 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.