| Elite Pain & Health Pc | |
|
13100 N Western Ave Ste 200, Oklahoma City, OK 73114-1431 | |
| (800) 781-1220 | |
| (888) 678-8616 |
| Full Name | Elite Pain & Health Pc |
|---|---|
| Type | Facility |
| Speciality | Pain Medicine - Interventional Pain Medicine |
| Location | 13100 N Western Ave Ste 200, Oklahoma City, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700235645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | (* (Not Available)) | Primary |
| Provider Name | Kendall J Little |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891772307 PECOS PAC ID: 5294778452 Enrollment ID: I20050722000892 |
| Provider Name | Keley J Booth |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1558387696 PECOS PAC ID: 7214930064 Enrollment ID: I20060916000004 |
| Provider Name | Jeffrey Courcier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205935251 PECOS PAC ID: 7012062102 Enrollment ID: I20090825000483 |
| Provider Name | Misti Moon Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487157772 PECOS PAC ID: 0143576348 Enrollment ID: I20180702000126 |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Pain & Health Pc 13100 N Western Ave Ste 200, Oklahoma City, OK 73114-1431 Ph: (800) 781-1220 | Elite Pain & Health Pc 13100 N Western Ave Ste 200, Oklahoma City, OK 73114-1431 Ph: (800) 781-1220 |