SPINE INNOVATIONS, LLC (NPI# 1639339021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639339021 |
Entity Type | Organization |
Organization Name | SPINE INNOVATIONS, LLC |
Practice Address |
11912 Kanis Rd Ste F8 Little Rock AR 72211-3771 |
Practice Telephone | 5012551580 |
Mailing Telephone | 5012551580 |
Enumeration Date | 2008-06-10 |
Last Update Date | 2008-06-10 |
Authorized Official Name | MR. ROBERT D MAZZARELLA (PRESIDENT) |
Authorized Official Telephone | 5012551580 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 293D00000X | Physiological Laboratory | Laboratories |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366973935 | Spine Innovations, LLC | Specialist | 29301 N Dixie Ranch Rd, Lacombe, LA 70445-5403 | 2017-03-24 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | SPINE INNOVATIONS, LLC | 19255 Sw 65th Ave Ste 200, Tualatin, OR 97062 |
Street Address |
11912 KANIS RD STE F8 |
City | LITTLE ROCK |
State | AR |
Zip Code | 72211-3771 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760004618 | Samantha Lenore Hilborn | Behavior Technician | 1525 Merrill Drive Suite 100, Little Rock, AR 72211 | 2020-05-14 |
1003437740 | Centers for Youth and Families, Inc. | Community/Behavioral Health | 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 | 2020-05-05 |
1962040568 | Erica N Taylor | Nurse Practitioner | 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 | 2019-12-13 |
1568932119 | Katie Jones | Nurse Practitioner | 1children's Way, Little Rock, AR 72211 | 2018-11-27 |
1356828651 | Kayleigh King | Dietitian, Registered | 4 Shackleford Plz Ste 209, Little Rock, AR 72211 | 2018-07-19 |
1699283838 | Kara Elizabeth Simmons | Physician Assistant | 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 | 2018-01-22 |
1194241463 | Wendy Newsam Pllc | Counselor | 1 Innwood Circle, Suite 107, Little Rock, AR 72211 | 2017-08-18 |
1861915159 | Sarah Renee Beall | Counselor | 10800 Financial Centre #290, Little Rock, AR 72211 | 2017-07-19 |
1457873127 | Restore Hope Counseling Center, Pllc | Counselor | One Innwood Circle, Suite 201, Little Rock, AR 72211 | 2017-07-13 |
1447707500 | University of Arkansas for Medical Sciences | Durable Medical Equipment & Medical Supplies | 601 Autumn Road, Little Rock, AR 72211 | 2016-09-07 |
Find all providers in zip 72211 |
Taxonomy Code | 293D00000X |
Grouping | Laboratories |
Classification | Physiological Laboratory |
A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275787483 | Mobile Health Services, LLC | Physiological Laboratory | 13311 Lawson Rd, Suite B, Little Rock, AR 72210-2601 | 2008-11-14 |
1255598538 | Rm Medical | Physiological Laboratory | 11912 Kanis Rd, Ste F-8, Little Rock, AR 72211-3733 | 2008-05-22 |
1538151303 | Premier Mri of Little Rock, Inc. | Physiological Laboratory | 906 Broadway St, Little Rock, AR 72201-4126 | 2005-08-18 |
1477913267 | Braincare, LLC | Physiological Laboratory | 400 W Capitol Ave, Ste 1741, Little Rock, AR 72201-3436 | 2016-03-07 |
1376779843 | Delta Wave LLC | Physiological Laboratory | 1 Innwood Cir, Suite 102, Little Rock, AR 72211-2447 | 2009-06-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861857658 | Hot Springs Imaging Center LLC | Physiological Laboratory | 120 Adcock Rd., Suite B, Hot Springs, AR 71913-7958 | 2015-12-21 |
1538202221 | Pulmonary and Sleep Diagnostics LLC | Physiological Laboratory | 607 North Town, Mountain Home, AR 72653 | 2007-02-14 |
1467796086 | Somnodiagnostics Incorporated | Physiological Laboratory | 106 Ridgeway St, Suites A and B, Hot Springs, AR 71901-7100 | 2012-11-20 |
1952346041 | Crittenden Cares, Inc | Physiological Laboratory | 228 W Tyler Ave, Suite 108, West Memphis, AR 72301-4223 | 2006-06-20 |
City | LITTLE ROCK |
Zip Code | 72211 |
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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.