SPINE CIN OF PHOENIX LLC (NPI# 1508364852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508364852 |
| Entity Type | Organization |
| Organization Name | SPINE CIN OF PHOENIX LLC |
| Practice Address |
2155 W Pinnacle Peak Rd Ste 201a Phoenix AZ 85027-1201 |
| 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 | 2018-01-31 |
| Last Update Date | 2018-01-31 |
| Authorized Official Name | EDWARD LELAND HUTTON EADIE (DIRECTOR) |
| Authorized Official Telephone | 6157332064 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
AZ | Allopathic & Osteopathic Physicians | |
| Y | 207X00000X | Orthopaedic Surgery | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
2155 W PINNACLE PEAK RD STE 201A |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85027-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356802573 | Saz Care of Az, LLC | Orthopaedic Surgery | 2155 W Pinnacle Peak Rd Ste 201a, Phoenix, AZ 85027-1201 | 2019-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306312 | Ashley Nicole Felipe | Registered Nurse | 25700 N 21st Ave, Phoenix, AZ 85027 | 2020-08-10 |
| 1942784376 | Crystal Rodriguez | Dentist | 2550 W Union Hills Dr Ste 201, Phoenix, AZ 85027 | 2018-09-21 |
| 1790284776 | Lydia Kuuipo Chong | Nurse Practitioner | 20414 N 27th Ave #300, Phoenix, AZ 85027 | 2018-02-06 |
| 1457867004 | Kristi Marie Mathews | Nurse Practitioner | 19829 N 29th Avenue, Phoenix, AZ 85027 | 2017-12-19 |
| 1710348362 | The Empower House, LLC | Community Based Residential Treatment Facility, Mental Illness | 18631 N. 19th Ave., Suite 158-305, Phoenix, AZ 85027 | 2016-03-10 |
| 1972979656 | Dr Daniel H Yohannes D.d.s., PC | Dentist | 602 W. Union Hills Dr, #8, Phoenix, AZ 85027 | 2015-08-17 |
| 1013346857 | Dentistry At 35th Avenu | Dentist | 18635 N 35th Avenue, Phoenix, AZ 85027 | 2013-11-02 |
| 1437592102 | Ammar Alobaidy | Psychiatry & Neurology | 21410 N 19th Ave Ste 151, Phoenix, AZ 85027 | 2013-04-12 |
| 1588900021 | Jill Elizabeth Maroscia | Social Worker | 19636 N 27th Ave #106, Phoenix, AZ 85027 | 2013-01-02 |
| 1124394515 | Sfjg Holdings LLC | Dentist | 3414 W. Union Hills Dr, Suite 12 & 14, Phoenix, AZ 85027 | 2012-03-29 |
| Find all providers in zip 85027 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134609746 | Arizona Arthritis and Rheumatology Associates | Orthopaedic Surgery | 9520 W Palm Ln Ste 220, Phoenix, AZ 85037-4403 | 2018-08-14 |
| 1124547682 | Consulting Options, LLC | Orthopaedic Surgery | 5110 North 44th Street, Suite L200, Phoenix, AZ 85018 | 2017-09-15 |
| 1467829184 | Az Sports Clinic, LLC | Orthopaedic Surgery | 7797 W. Paradise Lane Suite 130, Phoenix, AZ 85382-3588 | 2015-08-28 |
| 1275911620 | Scott Howard Conant | Orthopaedic Surgery | 475 N 5th St, Phoenix, AZ 85004-2157 | 2015-05-18 |
| 1831500172 | Paramjit Singh | Orthopaedic Surgery | 9305 W Thomas Rd Ste 305, Phoenix, AZ 85037-3366 | 2014-05-08 |
| 1831537414 | Seth Andrew Christensen | Orthopaedic Surgery | 18444 N 25th Ave Ste 310, Phoenix, AZ 85023-1266 | 2013-06-05 |
| 1679819304 | Integrated Medical Services Inc | Orthopaedic Surgery | 4550 E Bell Rd Ste 280, Phoenix, AZ 85032-9384 | 2012-12-28 |
| 1235494741 | Benjamin Albert | Orthopaedic Surgery | 6950 E Chauncey Ln Ste 100, Phoenix, AZ 85054-5179 | 2012-07-10 |
| 1629349469 | Alfred Franklin D'anca | Orthopaedic Surgery | 4019 Trails End Ct, Phoenix, MD 21131-1860 | 2012-01-25 |
| 1922399088 | Patricia Ann Drace | Orthopaedic Surgery | 1919 E Thomas Rd Fl 2, Phoenix, AZ 85016 | 2011-04-25 |
| Find all providers in PHOENIX | ||||
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| 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.