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OKLAHOMA SPINE AND BRAIN INSTITUTE NPI 1588625339


NPI Information

NPI: 1588625339
Provider Name: OKLAHOMA SPINE AND BRAIN INSTITUTE

Former Legal Business Name: NEUROSURGERY INC

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
6802 S OLYMPIA AVE
STE300
TULSA, OK
ZIP 74132
Phone: (918) 749-0762
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OKLAHOMA SPINE AND BRAIN INSTITUTE is a specialist in Tulsa, OK. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. OKLAHOMA SPINE AND BRAIN INSTITUTE NPI is 1588625339. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Neurosurgery Inc.

The provider's business location address is:

6802 S OLYMPIA AVE
STE300
TULSA, OK
ZIP 74132-823
Phone: (918) 749-0762
Fax: (918) 744-4246

The provider's authorized official is Christopher G Covington .
The authorized official title is Managing Partner and has the following contact phone number (918) 749-0762.

The enumeration date for this NPI number is 3/31/2006 and was last updated on 8/6/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist15858OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14503840001MEDICARE NSCOKLAHOMA
2CS2244OTHEROKLAHOMARAILROAD MEDICARE
3100729760AMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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