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Contact Information

OKLAHOMA SPINE HOSPITAL LLC
14101 PARKWAY COMMONS DR
OKLAHOMA CITY, OK73134-6012
 Phone: 405-775-4241
 Fax: 405-841-9385
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for OKLAHOMA SPINE HOSPITAL LLC

NPI # 1518345248
LBN Legal business name OKLAHOMA SPINE HOSPITAL LLC
Authorized official KEVIN BLAYLOCK - (CEO/AO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/14/2015
Last updated 04/27/2026 - About a month ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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