SPINE CIN OF AUSTIN LLC


Address: 401 Congress Ave # 1540a, Austin, TX 78701-4071
Phone: 6153860064

SPINE CIN OF AUSTIN LLC (NPI# 1205344181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205344181
Entity Type Organization
Organization Name SPINE CIN OF AUSTIN LLC
Practice Address 401 Congress Ave # 1540a
Austin
TX 78701-4071
Mailing Address 102 Woodmont Blvd Ste 350
Nashville
TN 37205-2216
Practice Telephone 6153860064
Practice Fax Number 6153860067
Mailing Telephone 6153860064
Mailing Fax Number 6153860067
Enumeration Date 2018-01-13
Last Update Date 2020-02-13
Authorized Official Name EDWARD LELAND HUTTON EADIE (PE SPECIALIST)
Authorized Official Telephone 6157332064
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207XS0117X Orthopaedic Surgery
Specialization: Orthopaedic Surgery of the Spine
TX Allopathic & Osteopathic Physicians
Y 207X00000X Orthopaedic Surgery TX Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
5656 Bee Caves Rd Ste M302, West Lake Hills, TX 787465814 6153860064 6153860067

Office Location

Street Address 401 CONGRESS AVE # 1540A
City AUSTIN
State TX
Zip Code 78701-4071

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710501820 Megan Elise Gittins Student in an Organized Health Care Education/Training Program Ut Austin Dell Medical School 1400 Ih-35, Cec 300, Austin, TX 78701 2020-06-04
1306467956 Jason Russell Paxman Internal Medicine Dell Seton Medical Center 1500 Red River, Austin, TX 78701 2020-05-05
1992326078 Sarah N Ibanez Shaw Emergency Medicine Ut Austin Dell Medical School Em Residency Program, 1400 N. I-35, Suite 2.230, Austin, TX 78701 2020-04-30
1215558689 Margaret Marie Coates Student in an Organized Health Care Education/Training Program 1400 N Interstate Highway 35, Cec 2.404, Austin, TX 78701 2020-04-27
1740817956 Woody Starcloud Green Emergency Medicine Dell Emergency Medicine Residency Program, 1400 N. Interstate Hwy 35, Suite 2.230, Austin, TX 78701 2020-03-26
1235771403 Central Ortho Assists Pllc Physician Assistant 501 Congress, Suite 150, Austin, TX 78701 2019-10-09
1114575792 Shyneice Lasha Gaddis Behavior Technician 100 Congress Ave Suite 2000, Austin, TX 78701 2019-08-28
1245887355 Jonathan Thomas Mason Family Medicine 1400 N-ih 35, Dell Seton Medical Center, Ste C2.410, Austin, TX 78701 2019-08-22
1538726195 Zahra Virginia Cain-akbar Student in an Organized Health Care Education/Training Program Ut Dell Medical, 1500 Red River St, Austin, TX 78701 2019-05-20
1457918021 Sara Lugonjic Student in an Organized Health Care Education/Training Program Ut Austin Dell Medical School Neurology Program, 1400 Ih- 35, Cec 300, Austin, TX 78701 2019-05-20
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Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528675097 Ortholonestar, Pllc Orthopaedic Surgery 3755 S Capital of Texas Hwy Ste 160, Austin, TX 78704-6645 2020-09-28
1295344596 Chall Orthopedic Innovations, Pllc Orthopaedic Surgery 5404 N Scout Island Cir, Austin, TX 78731-6533 2020-07-23
1437693363 Rockdale Blackhawk, LLC Orthopaedic Surgery 2500 West William Cannon Drive, Suite 401, Austin, TX 78745-5290 2016-12-12
1336527621 Sean M Gallagher Md Pllc Orthopaedic Surgery 3901 Medical Pkwy Ste 301, Austin, TX 78756-4022 2015-05-07
1639506546 Greentree Health Surgical Orthopaedic Surgery 8900 Shoal Creek Blvd Bldg 301b, Austin, TX 78757-6810 2013-10-09
1346686128 Jose A Romero Orthopaedic Surgery 3000 N Interstate 35 Ste 500, Austin, TX 78705-1815 2013-05-20
1962741280 Austin Hand and Wrist Pllc Orthopaedic Surgery 3805 Petes Path, Unit B, Austin, TX 78731-6118 2013-02-06
1891031035 El Paso Healthcare Provider Network Orthopaedic Surgery 98 San Jacinto Blvd., Suite 1800, Austin, TX 78701-4237 2012-12-17
1902167638 Texas Orthopedics, Sports and Rehabilitation Associates, Pa Orthopaedic Surgery 1701 West Ben White Blvd, Suite 100b, Austin, TX 78704-7646 2012-05-29
1396002622 Arturo Deleon Villarreal Orthopaedic Surgery 401 W Slaughter Ln Ste 300, Austin, TX 78748-1774 2012-04-11
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City AUSTIN
Zip Code 78701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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