Spine Care of Oklahoma, LLC
NPI 1033302906ActiveOrganization· Preferred Provider Organization· Edmond, OK
Preferred Provider Organization in Edmond, Oklahoma, registered in NPPES in August 2007. The authorized official on file is Edward A. Shadid, M.D., Business Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1033302906 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 23, 2007 |
| Last updated in NPPES | Aug 15, 2022 |
| Certified by provider | Jul 24, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | 22294 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OK) |
|---|