OKLAHOMA SPINE HOSPITAL LLC


Address: 14101 Parkway Commons Dr, Oklahoma City, OK 73134-6012
Phone: 4057754241

OKLAHOMA SPINE HOSPITAL LLC (NPI# 1518345248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518345248
Entity Type Organization
Organization Name OKLAHOMA SPINE HOSPITAL LLC
Other Organization Name OSH PHYSICIAN GROUP
Practice Address 14101 Parkway Commons Dr
Oklahoma City
OK 73134-6012
Mailing Address 236 Nw 62nd St
Oklahoma City
OK 73118-7422
Practice Telephone 4057754241
Practice Fax Number 4058419385
Mailing Telephone 4057754241
Mailing Fax Number 4058419385
Enumeration Date 2015-05-14
Last Update Date 2020-03-05
Authorized Official Name KEVIN BLAYLOCK (CEO/AO)
Authorized Official Telephone 4057492700
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
Allopathic & Osteopathic Physicians
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
OSH Physician Group Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
14100 Parkway Commons Dr, Oklahoma City, OK 731346103 4057492765 4057496209

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1699745893 Oklahoma Spine Hospital LLC General Acute Care Hospital 14101 Parkway Commons Dr, Oklahoma City, OK 73134-6012 2006-01-23

Office Location

Street Address 14101 PARKWAY COMMONS DR
City OKLAHOMA CITY
State OK
Zip Code 73134-6012

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417952664 Falon D Fuller Specialist 14101 Parkway Commons Dr, Oklahoma City, OK 73134-6012 2005-06-15
1447890496 Sydney Bui Nurse Practitioner 14101 Parkway Commons Dr, Oklahoma City, OK 73134-6012 2020-01-07
1851631774 Beau James Burton Physician Assistant 14101 Parkway Commons Dr, Oklahoma City, OK 73134 2013-03-01
1457410300 Metro Anesthesia Consultants, Inc. Anesthesiology 14101 Parkway Commons Dr, Oklahoma City, OK 73134-6012 2006-12-07
1942212360 Spinecare, Inc. Specialist 14101 Parkway Commons Dr, Oklahoma City, OK 73134-6012 2006-08-13
1699745893 Oklahoma Spine Hospital LLC General Acute Care Hospital 14101 Parkway Commons Dr, Oklahoma City, OK 73134-6012 2006-01-23
1134109986 Gaylan D. Yates Specialist 14101 Parkway Commons Dr, Oklahoma City, OK 73134-6012 2006-01-18
1184609588 Laboratory Corporation of America Clinical Medical Laboratory 14101 Parkway Commons Dr, Oklahoma City, OK 73134-6012 2005-12-08
1407849623 C. Eric Eckman, Md, Pllc Pain Medicine 14101 Parkway Commons Dr, Oklahoma City, OK 73134-6012 2005-08-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841846474 Designs In Dentistry Dentist 14810 Serenita Ave, Oklahoma City, OK 73134 2019-08-09
1538683248 Amber N Rettke Case Manager/Care Coordinator 14900 N. Pennsylvania Ave Apt. 1423, Oklahoma City, OK 73134 2017-08-03
1043750755 Nikki Jo Rios Behavioral Analyst 14828 Serenita Avenue, Oklahoma City, OK 73134 2017-02-28
1285092437 Christina Almstrom Whelan Psychologist 14616 Fossil Creek Lane, Oklahoma City, OK 73134 2016-02-03
1881003614 Amber D. Given Counselor 14001 Mcauley Blvd. Suite 240, Oklahoma City, OK 73134 2014-08-06
1114365483 Chester Arthur Woods IIi Student in an Organized Health Care Education/Training Program 14548 North Pennsylvania Ave, Oklahoma City, OK 73134 2013-06-10
1700123916 Laura Jane Holsey Surgery 3543 West Memorial Road, Holsey Cosmetic Surgery & Spa, Oklahoma City, OK 73134 2013-01-08
1023354842 Amattco LLC Clinic/Center 3705 West Memorial Rd Suite 601, Oklahoma City, OK 73134 2012-12-26
1740531698 Oklahoma Sports and Orthopedics Institute Pllc Orthopaedic Surgery 13401 N. Western. Ave., Ste. 301, Oklahoma City, OK 73134 2012-10-01
1003167503 Lindsey Brockie Technician, Other 14828 Serenita Ave, Oklahoma City, OK 73134 2012-09-24
Find all providers in zip 73134

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053601237 Anjali Lal Radiology 940 Ne 13th St Ste 4g4250, Oklahoma City, OK 73104 2011-04-08
1295045433 Oliver A. Cvitanic Md, PC Radiology 230 Sw 80th St, Oklahoma City, OK 73139-8107 2010-10-20
1356652515 Franklin C. Nwoke Radiology 1325 N Walker Ave Apt 428, Oklahoma City, OK 73103-6411 2010-06-23
1215257225 Michael P Murphy Radiology 13108 Red Cedar Cir, Oklahoma City, OK 73131-1860 2010-06-02
1568787489 Mohamed Nabil Attaya Radiology 1100 North Lindsay, University of Oklahoma, Oklahoma City, OK 73104 2010-04-03
1396876025 Lawrence Churng-shyuh Fan Radiology 5300 W Memorial Rd, Apt. 22p, Oklahoma City, OK 73142 2007-03-07
1780762195 Christian Leigh Koopman Radiology 940 N.e. 13th St, Garrison Tower, Suite 4g4250, Radiological Sciences, Oklahoma City, OK 73104 2006-11-02
1891886354 Mobile X-ray Services Inc Radiology 8200 N Classen Blvd, Suite 123, Oklahoma City, OK 73114-2128 2006-09-27
1538267208 Oliver Anthony Cvitanic Radiology 9901 S Pennsylvania Ave, Oklahoma City, OK 73159-6920 2006-09-20
1972522845 T.h. Molskness D.o. Radiology 11205 Greenbriar Chase St, Oklahoma City, OK 73170-3218 2006-07-19
Find all providers in OKLAHOMA CITY

Competitor

Search similar providers

City OKLAHOMA CITY
Zip Code 73134

Improve Information

Please comment or provide details below to improve the information on OKLAHOMA SPINE HOSPITAL LLC.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches