{"npi":"1104219385","type":"NPI-2","status":"active","name":{"display":"Avenstar Pain Specialists, PLLC","other":[],"organization_name":"AVENSTAR PAIN SPECIALISTS, PLLC","authorised_official":"Steve Randall"},"specialty":{"primary_taxonomy":"208VP0014X","primary_taxonomy_description":"Pain Medicine","slug":"pain-medicine","schema_org_specialty":"Anesthesia","all":[{"code":"207QS0010X","description":"Sports Medicine (Family Medicine) Physician","primary":false,"state":"TX","license":"N4691"},{"code":"208VP0014X","description":"Pain Medicine","primary":true,"state":"OK","license":"2493"}]},"addresses":[{"purpose":"LOCATION","street_1":"1732 S SOONER RD","city":"MIDWEST CITY","state":"OK","postal_code":"73110","country_code":"US","phone":"4054380913"},{"purpose":"MAILING","street_1":"1732 S SOONER RD","city":"MIDWEST CITY","state":"OK","postal_code":"73110","country_code":"US","phone":"4054380913","fax":"4054380958"}],"license":{"state":"OK","number":"2493"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"200341890A","state":"OK","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20150615000790","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"OK","pac_id":"1153632344"}]},"enumeration_date":"2015-03-11","last_updated":"2025-03-06","_meta":{"source":"NPPES","snapshot_date":"2025-03-06","doc_url":"https://findmynpi.com/api"}}