SPINE CARE OF OKLAHOMA, LLC
NPI 1033302906
Preferred Provider Organization in Edmond, OK
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
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Spine Care Of Oklahoma, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Spine Care Of Oklahoma, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, OKCertificate for Provider-Performed Microscopy Procedures (PPMP) 37D2088416
Spine Care Of Oklahoma · Lawton, OKFrequently 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.
Is Spine Care Of Oklahoma, LLC enrolled in Medicare?
Yes. Spine Care Of Oklahoma, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Spine Care Of Oklahoma, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Spine Care Of Oklahoma, LLC, in Interventional Pain Management, Nurse Practitioner, Orthopedic Surgery and Physical Medicine and Rehabilitation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Health, Ambetter from Arkansas Health & Wellness, 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 4 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.
# Spine Care Of Oklahoma, Llc · NPI 1033302906
Preferred Provider Organization organization in Edmond, Oklahoma. Organization record, active in the CMS NPPES registry since August 23, 2007.
## Identity
- **NPI:** 1033302906 (Entity type: Organization)
- **Enumerated:** August 23, 2007
- **Primary specialty:** Preferred Provider Organization · taxonomy 305R00000X
- **Organization subpart:** No
- **Authorized official:** Edward Shadid, BUSINESS OWNER
## Practice location
- **Address:** 508 W 15TH ST, Edmond, OK 73013-3615
- **Phone:** (405) 840-5100 · **Fax:** (405) 840-5102
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Interventional Pain Management (1), Nurse Practitioner (1), Orthopedic Surgery (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 15, 2022
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1033302906) · Data from the CMS NPPES public registry.