RED RIVER MEDICAL SERVICES LLC
NPI 1558981472
Pain Medicine - Pain Medicine in Lawton, OK

NPI Status: Active since April 21, 2020

Contact Information

4411 W GORE BLVD STE A2
LAWTON, OK
ZIP 73505
Phone: (580) 730-0510
Fax: (580) 357-8787

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  • Organization
  • Pain Medicine
  • Pain Medicine
  • CLIA Number: 37D2200063
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-12-2026

About RED RIVER MEDICAL SERVICES LLC

This page provides the complete NPI Profile along with additional information for Red River Medical Services Llc, a provider established in Lawton, Oklahoma operating as a Pain Medicine. The healthcare provider is registered in the NPI registry with number 1558981472 assigned on April 2020. The practitioner's primary taxonomy code is 208VP0000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ronda F Norrell (Credentialing)

NPI
1558981472
Provider Name
RED RIVER MEDICAL SERVICES LLC
Entity Type
Organization
Location Address
4411 W GORE BLVD STE A2 LAWTON, OK 73505
Location Phone
(580) 730-0510
Location Fax
(580) 357-8787
Mailing Address
4411 W GORE BLVD STE A2 LAWTON, OK 73505
Mailing Phone
(580) 730-0510
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-21-2020
Last Update Date
04-21-2020
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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

Pain Medicine Pain Medicine

Taxonomy Code
208VP0000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RONDA F NORRELL

Authorized Official Title
CREDENTIALING
Authorized Official Phone
(580) 695-0101

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
37D2200063
Facility Type
Physician Office
Certificate Effective Date
August 13, 2024
Certificate Expiration Date
August 12, 2026
Laboratory Director
DR. DAVID HANLEY
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Red River Medical Services Llc 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 1558981472, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
8
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
1
Doubled → 2
Pos 8
4
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
2
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 5 → 10 → 1 9 → 18 → 9 1 → 2 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 0 + 8 + 1 + 8 + 8 + 2 + 4 + 1 + 4 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1558981472.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Anesthesiology
4411 W GORE BLVD STE A2
LAWTON, OK 73505
Physician Assistant
4411 W GORE BLVD STE A2
LAWTON, OK 73505
Nurse Practitioner (Family)
4411 W GORE BLVD STE A2
LAWTON, OK 73505
Physician Assistant
4411 W GORE BLVD STE A2
LAWTON, OK 73505
General Practice
4411 W GORE BLVD STE A2
LAWTON, OK 73505

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558981472, enumerated as an "organization" on April 21, 2020.

The provider is located at 4411 W GORE BLVD STE A2 LAWTON, OK 73505 and the phone number is (580) 730-0510.

Pain Medicine with taxonomy code 208VP0000X.