MEDICARE: SAFESPINE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171W00000X	Contractor		OK

General Provider Information

NPI Number	:	1992992507
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAFESPINE, LLC

Provider Business Mailing Address
First Line	:	8601 S WESTERN AVE
Second Line	:	ROOM 108
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73139-9200
Country	:	US
Telephone Number	:	405-601-5979
Fax Number	:	405-601-2826

Provider Business Practice Location Address
First Line	:	8601 S WESTERN AVE
Second Line	:	ROOM 108
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73139-9200
Country	:	US
Telephone Number	:	405-601-5979
Fax Number	:	405-601-2826

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CHARLES DEWAYNE POOR
Credential	:	MBR
Telephone Number	:	405-601-5979

Provider Enumeration Date	:	09/27/2007
Last Update Date	:	01/17/2012

Similar Medicare Providers

1124060199 — DR. HARVEY CLARKE JENKINS JR. M.D.
Practice Location Address:

8603 S WESTERN AVE
OKLAHOMA CITY, OK
73139-9200

Practice Phone: 405-686-1700
Practice Fax: 405-686-1555

1245411727 — HARVEY C JENKINS PH D M D PLLC
Practice Location Address:

8603 S WESTERN AVE
OKLAHOMA CITY, OK
73139-9200

Practice Phone: 405-686-1700
Practice Fax: 405-686-1555

1245829381 — BONITA NICHELLE BAXTER RD
Practice Location Address:

11001 SE 95TH ST
OKLAHOMA CITY, OK
73165-9200

Practice Phone: 405-834-0296
Practice Fax:

1104243252 — SARA L MADSEN DO
Practice Location Address:

9200 W OKLAHOMA AVE
MILWAUKEE, WI
53227-4317

Practice Phone: 414-649-6000
Practice Fax:

1346426541 — DR. ERICA MARIE DEPUYDT D.C.
Practice Location Address:

15855 S LORA CT
OREGON CITY, OR
97045-9200

Practice Phone: 503-320-8939
Practice Fax:

1215889209 — GIANNA NAGLE
Practice Location Address:

9200 NE BARRY RD STE 110
KANSAS CITY, MO
64157-1209

Practice Phone: 913-229-5691
Practice Fax:

Directions to “SAFESPINE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.