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OKLAHOMA SPINE DIAGNOSTIC AND PAIN TREATMENT CENTER PLLC NPI 1841334166


NPI Information

NPI: 1841334166
Provider Name: OKLAHOMA SPINE DIAGNOSTIC AND PAIN TREATMENT CENTER PLLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
3200 MEDICAL PARK DR
SHAWNEE, OK
ZIP 74804
Phone: (405) 878-9490
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OKLAHOMA SPINE DIAGNOSTIC AND PAIN TREATMENT CENTER PLLC is an interventional pain medicine pain medicine in Shawnee, OK. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. OKLAHOMA SPINE DIAGNOSTIC AND PAIN TREATMENT CENTER PLLC NPI is 1841334166. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3200 MEDICAL PARK DR
SHAWNEE, OK
ZIP 74804-014
Phone: (405) 878-9490
Fax: (405) 878-9492

The provider's authorized official is Melenie Nachimson .
The authorized official title is Credentialing Specialist and has the following contact phone number (405) 775-9350.

The enumeration date for this NPI number is 2/19/2007 and was last updated on 12/19/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208VP0014XPain MedicineInterventional Pain Medicine19113OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16252130001MEDICARE NSCOKLAHOMA
26252130001OTHEROKLAHOMADME - CIGNA GOVERNMENT SERVICES
3700522217MEDICARE PINOKLAHOMA
4DH1384OTHEROKLAHOMAMEDICARE RR
5200119720AMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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