# OKLAHOMA SPINE HOSPITAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OSH Physician Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518345248
- **Authorized official:** KEVIN BLAYLOCK (CEO/AO)
- **Authorized official phone:** (405) 749-2700

## Contact information

- **Practice address:** 14101 PARKWAY COMMONS DR, OKLAHOMA CITY, OK 73134-6012
- **Practice address phone:** (405) 775-4241
- **Practice address fax:** (405) 841-9385
- **Mailing address:** 4013 NW EXPRESSWAY STE 610, OKLAHOMA CITY, OK 73116-1525
- **Mailing address phone:** (405) 833-4227
- **Mailing address fax:** (405) 241-5298

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 05/14/2015
- **Last updated:** 04/27/2026