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GENESIS MEDICAL PLLC
NPI 1578174074
Anesthesiology - Pain Medicine in Ardmore, OK

Active since August 10, 2020
2002 12TH AVE NW STE B, ARDMORE, OK 73401(580) 221-2022(580) 221-2024 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 26, 2025, Aug 10, 2020 (2 updates tracked since 2020).

About Genesis Medical Pllc NPPES

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

GENESIS MEDICAL PLLC (NPI 1578174074) is a healthcare organization registered as a pain medicine in Ardmore, Oklahoma and active in the NPI registry since August 2020. The organization lists Sherry Lynne Clark, Billing/credentialing, as its authorized official.

NPPES Registry Identity

NPI1578174074
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 · (580) 221-2022 · Fax (580) 221-2024
Phone(580) 221-2022
Fax(580) 221-2024
Organization SubpartNo
Authorized OfficialSherry Lynne ClarkBilling/credentialing · (580) 223-5180
Enumeration DateAugust 10, 2020
Last NPPES UpdateFebruary 26, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2025
✔ NPI 1578174074 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
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 4

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

GENESIS MEDICAL PLLC
Anesthesiology (Pain Medicine)
2002 12TH AVE NW STE B
ARDMORE, OK 73401
Carter County (580) 221-2022
CODY RICE CHAMBERS
Physician Assistant (Surgical)
2002 12TH AVE NW STE B
ARDMORE, OK 73401
Carter County (580) 223-4795
ASHLEY DILL BROWN APRN- CNP
Nurse Practitioner (Family)
2002 12TH AVE NW STE B
ARDMORE, OK 73401
Carter County (580) 221-2022
DR. JOSHUA PAUL GORDON D.O.
Anesthesiology
2002 12TH AVE NW STE B
ARDMORE, OK 73401
Carter County (580) 221-2022

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 1578174074. It was assigned to this organization in the NPPES registry on August 10, 2020.

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.

What insurance does Genesis Medical PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Genesis Medical PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Genesis Medical PLLC was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.