Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genesis Medical PLLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1235050089

Genesis Medical PLLC is a Pain Medicine (Anesthesiology) Physician in Ada, Oklahoma. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1100 Cradduck Rd
Ada, OK 74820
Phone: (580) 221-2022
Fax: (580) 221-2024
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X

Record details

NPI number1235050089
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sherry Clark — Billing/Credentialing · (580) 223-5180
Other names Southern Oklahoma Pain Management
NPI enumeratedJuly 24, 2026
Last updated in NPPESJuly 24, 2026
Certification dateJuly 7, 2026
Mailing address1100 Cradduck Rd, Ada, OK 74820

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