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 1285434233

Genesis Medical PLLC is a Pain Medicine (Anesthesiology) Physician in Ardmore, Oklahoma. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2002 12th Ave NW Ste B
Ardmore, OK 73401-1206
Phone: (580) 221-2022
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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 number1285434233
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sherry Clark — Billing/Credentialing · (580) 223-5180
Other names Genesis Medical Pllc; Southern Oklahoma Bone & Joint P C
NPI enumeratedMarch 18, 2025
Last updated in NPPESMarch 24, 2025
Certification dateMarch 24, 2025
Mailing address2002 12th Ave Nw Ste B, Ardmore, OK 73401-1206

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