Healthcare Provider Details

I. General information

NPI: 1932038379
Provider Name (Legal Business Name): OKLAHOMA SPINE SURGERY CENTER PHYSICIANS GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13313 N MERIDIAN AVE STE B
OKLAHOMA CITY OK
73120-8316
US

IV. Provider business mailing address

13313 N MERIDIAN AVE STE B
OKLAHOMA CITY OK
73120-8316
US

V. Phone/Fax

Practice location:
  • Phone: 405-849-6979
  • Fax: 405-849-9264
Mailing address:
  • Phone: 405-849-6979
  • Fax: 405-849-9264

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: TERRA PAPPE
Title or Position: ADMINISTRATOR
Credential:
Phone: 405-849-6979