CENTER FOR SPINAL DISORDERS, LLC (NPI# 1730107442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730107442 |
| Entity Type | Organization |
| Organization Name | CENTER FOR SPINAL DISORDERS, LLC |
| Practice Address |
1331 N 7th St Suite 140 Phoenix AZ 85006-2754 |
| Practice Telephone | 6022537000 |
| Practice Fax Number | 6027129800 |
| Mailing Telephone | 6022537000 |
| Mailing Fax Number | 6027129800 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2008-01-14 |
| Authorized Official Name | WILLIAM R STEVENS (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6022537000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 27751 | AZ | Other Service Providers |
| Street Address |
1331 N 7TH ST SUITE 140 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-2754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396748851 | Kevin S. Ladin | Physical Medicine & Rehabilitation | 1331 N 7th St, Ste 360, Phoenix, AZ 85006-2772 | 2005-05-27 |
| 1811423262 | Heather Anne Fett | Nurse Practitioner | 1331 N 7th St, Suite 405, Phoenix, AZ 85006-2754 | 2017-05-04 |
| 1760838684 | Elisabeth Mancha | Nurse Practitioner | 1331 N 7th St, Suite 400, Phoenix, AZ 85006-2754 | 2016-05-10 |
| 1255792354 | Sophia Y Weis | Nurse Practitioner | 1331 N 7th St, Ste 275, Phoenix, AZ 85006-2754 | 2016-03-16 |
| 1427432939 | Kim E Krmpotic | Clinical Nurse Specialist | 1331 N 7th St, Suite 375, Phoenix, AZ 85006-2754 | 2015-07-14 |
| 1588041156 | Barbara Marie Wysocki | Registered Nurse | 1331 N 7th St, Phoenix, AZ 85006-2754 | 2015-05-02 |
| 1285039891 | Jessica Vo | Physician Assistant | 1331 N 7th St, Suite 275, Phoenix, AZ 85006-2754 | 2014-10-24 |
| 1447692793 | Dejana Grk | Optometrist | 1331 N 7th St, Phoenix, AZ 85006 | 2013-07-26 |
| 1922359637 | Smi Imaging, LLC | Radiology | 1331 N 7th St, Suite 150, Phoenix, AZ 85006-2754 | 2012-09-21 |
| 1649581620 | Claire Julia Kelley | Nurse Practitioner | 1331 N 7th St, Suite 375, Phoenix, AZ 85006-2707 | 2010-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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|---|---|---|---|---|
| 1902462179 | Physician Group of Arizona Inc | Specialist | 4801 E Washington St Ste 200, Phoenix, AZ 85034-2019 | 2019-05-14 |
| 1922517655 | Southwest Behavioral Health Services, Inc. | Specialist | 11221 N 28th Dr Bldg E, Phoenix, AZ 85029-5615 | 2017-09-26 |
| 1962936773 | Zoe Reed | Specialist | 20950 N 29th Ave, Suite 100, Phoenix, AZ 85027-3110 | 2017-04-18 |
| 1295289163 | Affiliated Therapy Services | Specialist | 4650 E Cotton Center Blvd Ste 155, Phoenix, AZ 85040-4803 | 2016-08-09 |
| 1285084400 | Jacqueline Kincer | Specialist | 4500 N 32nd St Ste 201d, Phoenix, AZ 85018-3397 | 2016-06-18 |
| 1750747218 | Hilary Caine | Specialist | 6228 W Molly Dr, Phoenix, AZ 85083-6525 | 2016-01-13 |
| 1659757268 | Armendariz Medical Associates LLC | Specialist | 3509 E Shea Blvd Ste 103, Phoenix, AZ 85028-3337 | 2015-08-05 |
| 1669877247 | Shawna Christofis | Specialist | 3940 E Goldfinch Gate Ln, Phoenix, AZ 85044-4513 | 2014-10-25 |
| 1396151890 | Michelle Rene' Reinhardt | Specialist | 11010 S Tomah St, Phoenix, AZ 85044-1914 | 2014-07-03 |
| 1518371863 | Stacy Hall Brink | Specialist | 4713 E Michigan Ave, Phoenix, AZ 85032-9517 | 2014-06-15 |
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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.