Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Genesis Medical PLLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1407769243

Genesis Medical PLLC provides Pain Medicine (Anesthesiology) Physician services in Lawton, 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.

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Practice location Address checks out

5370 NW Cache Rd Ste 1
Lawton, OK 73505-3371
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 number1407769243
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGenesis Medical PLLC
Authorized official Sherry Clark — Billing/Credentialing · (580) 223-5180
Other names Southern Oklahoma Pain Management
NPI enumeratedSeptember 23, 2026
Last updated in NPPESSeptember 23, 2026
Certification dateSeptember 23, 2026
Mailing address5370 Nw Cache Rd Ste 1, Lawton, OK 73505-3371

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