Southern Spine Services, LLC

Primary specialty

Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X

Legal business name

SOUTHERN SPINE SERVICES, LLC

Practice address

9521 B Riverside Parkway #338
Tulsa, OK 74137-7422

Phone

(918) 895-7680

Fax

(918) 236-4646

NPI assigned

May 31, 2017

Last updated

Oct 15, 2018By 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

Cristi Vinson

Title

Billing

Phone

(918) 895-7680

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539561600000",
    "number": "1760910053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5729 LEBANON RD, STE 144-206",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347260",
            "telephone_number": "918-895-7680",
            "fax_number": "918-236-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9521 B RIVERSIDE PARKWAY #338",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741377422",
            "telephone_number": "918-895-7680",
            "fax_number": "918-236-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN SPINE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2018-10-15",
        "status": "A",
        "authorized_official_last_name": "VINSON",
        "authorized_official_first_name": "CRISTI",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "918-895-7680"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "",
            "desc": "Electrodiagnostic Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Hills Nursing Center Inc (Southern Hills Rehab Center)
• Southern Hills Rehab Center, LLC (Southern Hills Rehabilitation Center)
• Southern Hills Retirement Center, LLC (Southern Hills Assisted Living)
• Southern Pointe Dental and Implants LLC
• Southern Spine Partners LLC
• Southerncare, Inc (Southerncare Tulsa)
• Southside Dermatology PLLC
• Southwest Neurology Specialist LLC
• Southwest Pathology Associates LLC
• Southwest Pathology, Inc

• Electrodiagnostic Medicine Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Electrodiagnostic Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.