ADVANCED PAIN MANAGEMENT
NPI 1639661333
Clinic/Center - Ambulatory Surgical in Oklahoma City, OK

NPI Status: Active since May 30, 2018

Contact Information

3727 NW 63RD ST STE 302
OKLAHOMA CITY, OK
ZIP 73116
Phone: (405) 702-8623
Fax: (405) 608-8623

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 37D2203983
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-06-2026

About ADVANCED PAIN MANAGEMENT

This page provides the complete NPI Profile along with additional information for Advanced Pain Management, a provider established in Oklahoma City, Oklahoma operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1639661333 assigned on May 2018. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Advanced Pain Management operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Advanced Pain Management. The authorized official of this NPI record is Rita Pannell (Rev Cycle Mgr)

NPI
1639661333
Provider Legal Name
CLINILOGIC LLC
Other Organization Name
ADVANCED PAIN MANAGEMENT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3727 NW 63RD ST STE 302 OKLAHOMA CITY, OK 73116
Location Phone
(405) 702-8623
Location Fax
(405) 608-8623
Mailing Address
2701 LITTLE ELM PKWY STE 100-148 LITTLE ELM, TX 75068
Mailing Phone
(214) 310-6763
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-30-2018
Last Update Date
07-29-2019
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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 Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208VP0000XAllopathic & Osteopathic Physicians

Pain Medicine
Pain Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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.

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

RITA PANNELL

Authorized Official Title
REV CYCLE MGR
Authorized Official Phone
(214) 310-6763

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
200844440AMEDICAID (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
37D2203983
Facility Type
Physician Office
Certificate Effective Date
December 07, 2024
Certificate Expiration Date
December 06, 2026
Laboratory Director
JOHN W. NELSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Advanced Pain Management to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1639661333, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
6
Unchanged
Pos 3
3
Doubled → 6
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
6
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
Unchanged
Pos 9
3
Doubled → 6
Check
3
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 3 → 6 6 → 12 → 3 1 → 2 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 6 + 9 + 1 + 2 + 6 + 2 + 3 + 6 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1639661333.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies
3727 NW 63RD ST STE 302
OKLAHOMA CITY, OK 73116
Pain Medicine (Interventional Pain Medicine)
3727 NW 63RD ST STE 302
OKLAHOMA CITY, OK 73116

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639661333, enumerated as an "organization" on May 30, 2018.

The provider is located at 3727 NW 63RD ST STE 302 OKLAHOMA CITY, OK 73116 and the phone number is (405) 702-8623.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.