Provider Demographics
NPI:1730686148
Name:PYNES, MALISSA LYNNE (MD)
Entity type:Individual
Prefix:
First Name:MALISSA
Middle Name:LYNNE
Last Name:PYNES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3030 NW EXPRESSWAY STE 1000
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-5468
Mailing Address - Country:US
Mailing Address - Phone:659-255-8207
Mailing Address - Fax:385-341-4258
Practice Address - Street 1:5600 S QUEBEC ST STE 312A
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2208
Practice Address - Country:US
Practice Address - Phone:720-974-7706
Practice Address - Fax:303-436-2710
Is Sole Proprietor?:No
Enumeration Date:2018-04-11
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA1782722084A2900X
CODR.00743102084A2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084A2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurocritical Care