Genesis Medical PLLC
NPI 1578174074ActiveOrganization· Anesthesiology, Pain Medicine· Ardmore, OK
Anesthesiology, Pain Medicine in Ardmore, Oklahoma, registered in NPPES in August 2020. The authorized official on file is Sherry Lynne Clark, Billing/Credentialing. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1578174074 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 10, 2020 |
| Last updated in NPPES | Feb 26, 2025 |
| Certified by provider | Feb 26, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology, Pain Medicine Primary | 207LP2900X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OK) |
|---|
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