The Spine and Pain Center LLC
NPI 1689144602ActiveOrganization· Anesthesiology, Pain Medicine· Tulsa, OK
Anesthesiology, Pain Medicine in Tulsa, Oklahoma, registered in NPPES in December 2018. The authorized official on file is Adam Wallace, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1689144602 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 3, 2018 |
| Last updated in NPPES | Oct 31, 2025 |
| Certified by provider | Oct 31, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology, Pain Medicine Primary | 207LP2900X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OK) |
|---|
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