Provider Demographics
NPI:1013959378
Name:MIDWEST PAIN CONSULTANTS P C
Entity Type:Organization
Organization Name:MIDWEST PAIN CONSULTANTS P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-733-5900
Mailing Address - Street 1:PO BOX 268945
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73126-8945
Mailing Address - Country:US
Mailing Address - Phone:405-733-5900
Mailing Address - Fax:405-733-5905
Practice Address - Street 1:4600 SE 29TH ST
Practice Address - Street 2:SUITE 750
Practice Address - City:DEL CITY
Practice Address - State:OK
Practice Address - Zip Code:73115-3406
Practice Address - Country:US
Practice Address - Phone:405-733-5900
Practice Address - Fax:405-733-5905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-12
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty