THE SPINE AND PAIN CENTER LLC
NPI 1689144602
Anesthesiology - Pain Medicine in Tulsa, OK

Active since December 03, 2018
1919 S WHEELING AVE STE 204, TULSA, OK 74104(918) 727-7246 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 10, 2025, Nov 19, 2020, Dec 5, 2018 (3 updates tracked since 2018).

About The Spine And Pain Center Llc NPPES

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

THE SPINE AND PAIN CENTER LLC (NPI 1689144602) is a healthcare organization registered as a pain medicine in Tulsa, Oklahoma and active in the NPI registry since December 2018. The organization maintains a secondary practice location in Tulsa and lists Adam Wallace, Owner, as its authorized official.

NPPES Registry Identity

NPI1689144602
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameTHE SPINE AND PAIN CENTER LLC
Location Address1919 S WHEELING AVE STE 204Tulsa, OK 74104-5631
Mailing Address1919 S Wheeling Ave Ste 204Tulsa, OK 74104-5631
Organization SubpartNo
Authorized OfficialAdam WallaceOwner · (918) 727-7246
Enumeration DateDecember 3, 2018
Last NPPES UpdateOctober 31, 20253 updates tracked since enumeration
NPPES CertifiedOctober 31, 2025
✔ NPI 1689144602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
1919 S WHEELING AVE STE 204, Tulsa, OK 74104

Secondary Practice Location 1

Location 13336 E 32nd St Ste 220Tulsa, OK 74135-4442 · Phone (918) 255-7246

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

The Spine And Pain Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to The Spine And Pain Center LLC, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Anesthesiology
NPI 1518129733
3336 E 32ND ST STE 220
Tulsa, OK 74135
(918) 255-7246
✔ PECOS✔ Accepts Medicare1.9 mi
Anesthesiology
NPI 1194928283
3336 E 32ND ST STE 220
Tulsa, OK 74135
(918) 727-7246
✔ PECOS✔ Accepts Medicare1.9 mi
Family Practice
NPI 1386955532
6732 E 41ST ST
Tulsa, OK 74145
(918) 794-4777
✔ PECOS✔ Accepts Medicare4.1 mi
Clinical Social Worker
NPI 1396154704
6440 S LEWIS AVE STE 2200
Tulsa, OK 74136
(918) 712-0859
✔ PECOS✔ Accepts Medicare4.4 mi
Nurse Practitioner
NPI 1134645922
512 N FRANKLIN ST
Jenks, OK 74037
(918) 582-6200
✔ PECOS✔ Accepts Medicare7.9 mi
Nurse Practitioner
NPI 1013452499
8803 S 101ST EAST AVE STE 100
Tulsa, OK 74133
(918) 579-2791
✔ PECOS✔ Accepts Medicare8.9 mi
Nurse Practitioner
NPI 1841014891
2334 SE WASHINGTON BLVD STE D
Bartlesville, OK 74006
(918) 727-7246
✔ PECOS✔ Accepts Medicare40 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 The Spine And Pain Center LLC's NPI number?

The NPI number for The Spine And Pain Center LLC is 1689144602. It was assigned to this organization in the NPPES registry on December 3, 2018.

Where is The Spine And Pain Center LLC located?

The Spine And Pain Center LLC is located at 1919 S Wheeling Ave Ste 204, Tulsa, OK 74104. The listed phone number is (918) 727-7246.

What is The Spine And Pain Center LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is The Spine And Pain Center LLC enrolled in Medicare?

Yes. The Spine And Pain Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Spine And Pain Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to The Spine And Pain Center LLC. 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. The largest specialties are Nurse Practitioner (3), Anesthesiology (2) and Clinical Social Worker (1). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does The Spine And Pain Center 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 and 17 other insurers list The Spine And Pain Center 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 The Spine And Pain Center LLC was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.