Organization Active NPI

Fedcare, LLC

  • Certified Registered Nurse Anesthetist
  • Oklahoma City, OK
National Provider Identifier
1346131182
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
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

Updated by the provider on Jun 29, 2026

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)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X
Multi-Specialty Clinic/Center 261QM1300X
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as
  • INTERVENTIONAL SPINE SERVICES- II Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.