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Oklahoma Spine Diagnostic and Pain Treatment Center Pllc

Interventional Pain Medicine Physician in Shawnee, OK · enumerated 2007 · authorized official Melenie Nachimson, Credentialing Specialist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1841334166

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Registry record

Entity type Organization (Type 2)
Legal business name Oklahoma Spine Diagnostic and Pain Treatment Center Pllc
Practice address 3200 Medical Park Dr, Shawnee, OK, 74804
Fax (405) 878-9492
Enumeration date Feb 19, 2007
Last updated in NPPES Dec 19, 2012

Taxonomy & classification

208VP0014X Interventional Pain Medicine Physician Allopathic & Osteopathic Physicians · License 19113 (OK) Primary

Authorized official

Name Melenie Nachimson
Title Credentialing Specialist

Other identifiers

Identifier Type State Issuer
DH1384 Other OK MEDICARE RR
200119720A Medicaid OK -
6252130001 Other OK DME - CIGNA GOVERNMENT SERVICES

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Oklahoma Spine Diagnostic and Pain Treatment Center Pllc?
Oklahoma Spine Diagnostic and Pain Treatment Center Pllc is registered in NPPES as a Interventional Pain Medicine Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-12-19.