Spinecare, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

15355 Issued in OK

Legal business name

SPINECARE, INC.

Practice address

14101 Parkway Commons Dr
Oklahoma City, OK 73134-6012

Phone

(405) 749-2766

Fax

(405) 749-6203

NPI assigned

Aug 13, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Penny Vaughn

Title

Account Coordinator

Phone

(405) 329-2390

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942212360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 114",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730700114",
            "telephone_number": "405-329-2390",
            "fax_number": "405-329-0486"
        },
        {
            "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": "405-749-2766",
            "fax_number": "405-749-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "ACCOUNT COORDINATOR",
        "authorized_official_telephone_number": "405-329-2390",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "15355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "447649809003",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Elizabeth Spina, PA-C
• David Spindle, LPC
• Spine Shield, PLLC
• Spine Surgery Associates PLLC
• Spine Surgery Inc
• Henry D Spingola III, DPM
• Derell Jovan Spires
• Taylor Danielle Spisany
• Kerrie Leigh Spitzer, LMSW
• Curtis Aaron Spivey, COTA

• Specialist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.