Spine Care Of Oklahoma, Llc in Edmond - Preferred Provider Organization
Spine Care Of Oklahoma, Llc - NPI 1033302906
Spine Care Of Oklahoma, Llc is a Preferred Provider Organization in Edmond, Oklahoma. Spine Care Of Oklahoma, Llc practices all healthcare services and medical treatments related to Preferred Provider Organization. The NPI Number for Spine Care Of Oklahoma, Llc is 1033302906. The last update date is 2022-08-15.
Spine Care Of Oklahoma, Llc's current location address is 508 W 15th St, Edmond, Oklahoma. You can contact this provider via phone number 4058405100 and fax number 4058405102. The mailing address for Spine Care Of Oklahoma, Llc is 508 W 15th St, Edmond, Oklahoma. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Spine Care Of Oklahoma, Llc |
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Address | 508 W 15th St, Edmond, Oklahoma |
Phone Number | 4058405100 |
Fax Number | 4058405102 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | BUSINESS O |
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Authorized Official Name | Shadid A Edward |
Credentials | M.D. |
Telephone Number | 4058405100 |
NPI Number Detail
NPI Number | 1033302906 |
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Provider Enumeration Date | 2007-08-23 |
Last Updated Date | 2022-08-15 |
Provider Mailing Address Detail
Address | 508 W 15th St |
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City | Edmond |
State | Oklahoma (OK) |
Post Code | 730133615 |
Phone Number | 4058405100 |
Fax Number | 4058405102 |
Provider's Primary Taxonomy Detail
Speciality | Preferred Provider Organization |
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Taxonomy | 305R00000X |
Licence No | 22294 |
Definition: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient rec |
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What is the unique identifier code issued to Spine Care Of Oklahoma, Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Spine Care Of Oklahoma, Llc has been assigned the NPI (National Provider Identifier) 1033302906. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Spine Care Of Oklahoma, Llc is located?
The Spine Care Of Oklahoma, Llc is situated at the following address: 508 W 15Th St, Edmond, OK, 730133615.
What is the Spine Care Of Oklahoma, Llc's specialty and taxonomy code?
The Spine Care Of Oklahoma, Llc's specialty is Preferred Provider Organization, and the corresponding taxonomy code is 305R00000X.
When did Spine Care Of Oklahoma, Llc receive its 1033302906 assignment?
The Spine Care Of Oklahoma, Llc was assigned its 1033302906 on 2007-08-23, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Spine Care Of Oklahoma, Llc most recently updated or revised?
The information pertaining to Spine Care Of Oklahoma, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2022-08-15.