Spine Care of Oklahoma, LLC
NPI 1033302906 · Preferred Provider Organization · Edmond, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Spine Care of Oklahoma, LLC is a Preferred Provider Organization organization in Edmond, OK (NPI 1033302906).
Provider details
- NPI number
- 1033302906
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Edward Shadid, Business Owner(405) 840-5100
- License
- 22294 (OK)
Specialties & taxonomies
Managed Care Organizations
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 5900 Mosteller DrSuite 3Oklahoma City, OK 73112-4600Phone: (405) 840-5100Fax: (405) 840-5102
Registry dates
- Enumerated
- 2007-08-23
- Last updated
- 2022-08-15
- Certified
- 2021-07-24
Frequently asked questions
- What is Spine Care of Oklahoma, LLC's NPI number?
- Spine Care of Oklahoma, LLC's National Provider Identifier (NPI) is 1033302906, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Spine Care of Oklahoma, LLC?
- Spine Care of Oklahoma, LLC is classified in the NPPES registry as Preferred Provider Organization (Managed Care Organizations).
- Where is Spine Care of Oklahoma, LLC located?
- Spine Care of Oklahoma, LLC's practice location on file with NPPES is 508 W 15th St, Edmond, OK 73013-3615.
- What is Spine Care of Oklahoma, LLC's phone number?
- The practice phone number listed in the NPPES registry for Spine Care of Oklahoma, LLC is (405) 840-5100.
- Does Spine Care of Oklahoma, LLC accept Medicare?
- Spine Care of Oklahoma, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Spine Care of Oklahoma, LLC?
- The authorized official listed on Spine Care of Oklahoma, LLC's NPPES record is Edward Shadid, Business Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Spine Care of Oklahoma, LLC's NPI active?
- Yes — Spine Care of Oklahoma, LLC's NPI (1033302906) is active in the NPPES registry as of the last update on 2022-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.