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SPINE CARE OF OKLAHOMA, LLC
NPI 1033302906
Preferred Provider Organization in Edmond, OK

Active since August 23, 2007CLIA Certified · 2 labs
508 W 15TH ST, EDMOND, OK 73013(405) 840-5100(405) 840-5102 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Spine Care Of Oklahoma, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPINE CARE OF OKLAHOMA, LLC (NPI 1033302906) is a healthcare organization registered as a preferred provider organization in Edmond, Oklahoma and active in the NPI registry since August 2007. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Oklahoma City, and lists Edward A Shadid, Business Owner, as its authorized official.

NPPES Registry Identity

NPI1033302906
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameSPINE CARE OF OKLAHOMA, LLC
Location Address508 W 15TH STEdmond, OK 73013-3615
Mailing Address508 W 15th StEdmond, OK 73013-3615 · (405) 615-0290 · Fax (405) 840-5102
Phone(405) 840-5100
Fax(405) 840-5102
Organization SubpartNo
Authorized OfficialEdward A ShadidBusiness Owner · (405) 840-5100
Enumeration DateAugust 23, 2007
Last NPPES UpdateAugust 15, 2022
NPPES CertifiedJuly 24, 2021
✔ NPI 1033302906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in OK · 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 receives care at a lower benefit level.
508 W 15TH ST, Edmond, OK 73013
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Secondary Practice Location 1

Location 15900 Mosteller Dr, Suite 3Oklahoma City, OK 73112-4600 · Phone (405) 840-5100 · Fax (405) 840-5102

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D1101285

Spine Care Of Oklahoma · Edmond, OK
Active · expires Jun 23, 2027
CLIA Number37D1101285
Laboratory TypePhysician Office
Certificate Effective DateJune 24, 2025
Certificate Expiration DateJune 23, 2027
Laboratory DirectorEdward A. Shadid
Laboratory Phone(405) 840-5100
Laboratory LocationSpine Care Of Oklahoma508 W. 15th Street, Edmond, OK 73013
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 37D2088416

Spine Care Of Oklahoma · Lawton, OK
Active · expires Mar 19, 2027
CLIA Number37D2088416
Laboratory TypePhysician Office
Certificate Effective DateMarch 20, 2025
Certificate Expiration DateMarch 19, 2027
Laboratory DirectorEdward A. Shadid
Laboratory Phone(405) 840-5100
Laboratory LocationSpine Care Of Oklahoma5109 W Gore Blvd, Lawton, OK 73505
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GENTIAN META M.D.
Pain Medicine (Interventional Pain Medicine)
508 W 15TH ST
EDMOND, OK 73013
Oklahoma County (405) 840-5100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spine Care Of Oklahoma, LLC's NPI number?

The NPI number for Spine Care Of Oklahoma, LLC is 1033302906. It was assigned to this organization in the NPPES registry on August 23, 2007.

Where is Spine Care Of Oklahoma, LLC located?

Spine Care Of Oklahoma, LLC is located at 508 W 15th St, Edmond, OK 73013. The listed phone number is (405) 840-5100.

What is Spine Care Of Oklahoma, LLC's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Does Spine Care Of Oklahoma, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Spine Care Of Oklahoma, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Spine Care Of Oklahoma, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Spine Care Of Oklahoma, LLC was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.