Active NPI
Fedcare, LLC
- Certified Registered Nurse Anesthetist
- Oklahoma City, OK
National Provider Identifier
1346131182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- FEDCARE, LLC
- Doing business as
- INTERVENTIONAL SPINE SERVICES, III
- Practice address
- 1907 N Broadway Ave Ste B
Oklahoma City, OK 73103-4407 - Phone
- (405) 702-7246
- Fax
- (405) 609-6679
- NPI assigned
- Jul 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emili Gragg
- Title
- Manager
- Phone
- (405) 219-2651
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
1907 N Broadway Ave Ste B
Oklahoma City, OK 73103-4407
Mailing address
PO Box 152
Oklahoma City, OK 73101-0152
Phone (405) 702-7246
Other names 2
- INTERVENTIONAL SPINE SERVICES, III
- INTERVENTIONAL SPINE SERVICES- II
National Provider Directory
National Provider DirectoryLocations
1907 N Broadway Ave
Ste B
Oklahoma City, OK 73103
Phone (405) 702-7246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782691200000",
"number": "1346131182",
"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",
"telephone_number": "405-702-7246",
"fax_number": "405-609-6679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1907 N BROADWAY AVE STE B",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731034407",
"telephone_number": "405-702-7246",
"fax_number": "405-609-6679"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FEDCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-10",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A",
"authorized_official_last_name": "GRAGG",
"authorized_official_first_name": "EMILI",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "405-219-2651"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "INTERVENTIONAL SPINE SERVICES, III",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "INTERVENTIONAL SPINE SERVICES- II",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.