Interventional Spine Services- II, LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

24593 Issued in OK

Legal business name

INTERVENTIONAL SPINE SERVICES- II, LLC

Doing business as

Interventional Spine Services

Practice address

1907 N Broadway Ave
Oklahoma City, OK 73103-4407

Phone

(405) 702-7246

Fax

(405) 609-6679

NPI assigned

Feb 16, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Emili Ruiz

Title

Manager

Phone

(405) 702-7246

Specialties & licenses 1

Addresses

Other names 1

• Interventional Spine Services Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518739200000",
    "number": "1245730167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 152",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731010152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 N BROADWAY AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731034407",
            "telephone_number": "405-702-7246",
            "fax_number": "405-609-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL SPINE SERVICES- II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-02-16",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "EMILI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-702-7246"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OK",
            "license": "24593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interventional Spine Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Invest Nu Therapy
• Invigilo Home Care LLC

• Interventional Pain Medicine Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Interventional Pain Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.