Oklahoma Spine Hospital LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

OKLAHOMA SPINE HOSPITAL LLC

Doing business as

OSH Physician Group

Practice address

14101 Parkway Commons Dr
Oklahoma City, OK 73134-6012

Phone

(405) 775-4241

Fax

(405) 841-9385

NPI assigned

May 14, 2015

Last updated

Apr 27, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Blaylock

Title

Ceo/Ao

Phone

(405) 749-2700

Specialties & licenses 3

Addresses

Other names 1

• OSH Physician Group Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Oklahoma Spine Hospital LLC

  dba Oklahoma Spine Hospital

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1699745893

  3971674755

  Same PAC ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• SSM Health Care of Oklahoma, Inc

  • General Acute Care Hospital
  • Midwest City, OK
  • NPI 1700471497

  Member Of

  NPD member

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Osh Pain Management Associates, LLC

  • Interventional Pain Medicine Physician
  • Oklahoma City, OK
  • NPI 1568701332

  Member Of

  NPD member

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/okspine-12f0832f

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacob Archer, M.D.

  • Neurological Surgery Physician
  • Oklahoma City, OK
  • NPI 1609257914
  Medicare reassignment NPD
• James Michael Odor, M.D.

  • Specialist
  • Oklahoma City, OK
  • NPI 1659317246
  NPD (past)
• Brian Snell, MD

  • Neurological Surgery Physician
  • Oklahoma City, OK
  • NPI 1225021702
  NPD (past)

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1518345248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4013 NW EXPRESSWAY STE 610",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161525",
            "telephone_number": "405-833-4227",
            "fax_number": "405-241-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14101 PARKWAY COMMONS DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731346012",
            "telephone_number": "405-775-4241",
            "fax_number": "405-841-9385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14100 Parkway Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731346103",
            "country_code": "US",
            "telephone_number": "405-749-2765",
            "fax_number": "405-749-6209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OKLAHOMA SPINE HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "BLAYLOCK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO/AO",
        "authorized_official_telephone_number": "405-749-2700"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSH Physician Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OSH Physician Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Oklahoma Sleepsource, LLC
• Oklahoma Specialty Pharmacy,LLC
• Oklahoma Spine and Brace Inc.
• Oklahoma Spine and Musculoskeletal Medicine, PLLC
• Oklahoma Spine and Rehabilitation
• Oklahoma Spine Hospital LLC (Oklahoma Spine Hospital)
• Oklahoma Spine Surgery & Orthopedics
• Oklahoma Spine Surgery Center
• Oklahoma Spine Surgery Center Physicians Group
• Oklahoma Sports & Spine Medicine,PLLC

• Pain Medicine (Anesthesiology) Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Pain Medicine (Anesthesiology) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.