LASER SPINE INSTITUTE LLC SOLE MBR (NPI# 1730691403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730691403 |
Entity Type | Organization |
Organization Name | LASER SPINE INSTITUTE LLC SOLE MBR |
Other Organization Name | SPINE DME SOLUTIONS LLC |
Practice Address |
656 E Swedesford Rd Wayne PA 19087-1606 |
Mailing Address |
5332 Avion Park Dr Tampa FL 33607-1412 |
Practice Telephone | 8132899613 |
Practice Fax Number | 4842531790 |
Mailing Telephone | 8133927604 |
Mailing Fax Number | 4842531790 |
Enumeration Date | 2017-11-02 |
Last Update Date | 2017-11-02 |
Authorized Official Name | DR. MICHAEL PERRY (MEDICAL DIRECTOR) |
Authorized Official Telephone | 8132899613 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Spine DME Solutions LLC | Doing Business As Name - Organization |
Street Address |
656 E SWEDESFORD RD |
City | WAYNE |
State | PA |
Zip Code | 19087-1606 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730312786 | Laser Spine Institute of Pennsylvania, LLC | Specialist | 656 E Swedesford Rd, Suite 100, Wayne, PA 19087-1606 | 2009-08-25 |
1851743991 | Megan Elizabeth Ulmer | Nurse Practitioner | 656 E Swedesford Rd, Wayne, PA 19087-1606 | 2016-07-12 |
1669828679 | Catherine Miller | Nurse Practitioner | 656 E Swedesford Rd, Wayne, PA 19087-1606 | 2016-05-09 |
1326422858 | Meghan Cataldi | Nurse Practitioner | 656 E Swedesford Rd, Suite 105, Wayne, PA 19087-1606 | 2015-07-14 |
1508254855 | Jennifer Puglia | Nurse Practitioner | 656 E Swedesford Rd, Suite #100, Wayne, PA 19087-1606 | 2015-01-08 |
1578996427 | Cynthia Ann Krapels | Clinical Nurse Specialist | 656 E Swedesford Rd, Wayne, PA 19087-1606 | 2013-08-14 |
1578834149 | Alissa Fisher Keller | Chiropractor | 656 E Swedesford Rd, Wayne, PA 19087-1606 | 2012-01-13 |
1386970069 | Maria Lepore | Registered Nurse | 656 E Swedesford Rd, Wayne, PA 19087-1606 | 2009-10-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063037455 | Melissa Chipollini | Counselor | 487 Devon Park, Wayne, PA 19087 | 2020-06-11 |
1811534555 | Midlantic Urology Surgery Center, LLC | Clinic/Center | Valley Forge Office Center, Suite 100, 676-656 East Swedesford Road, Wayne, PA 19087 | 2019-12-02 |
1538654363 | Brightview Wayne, LLC | Alzheimer Center (Dementia Center) | 301 E. Conestoga Road, Wayne, PA 19087 | 2018-06-25 |
1396234076 | Life Clinic of Pa PC | Physical Therapist | 700 E. Swedesford Rd., Wayne, PA 19087 | 2018-05-08 |
1841717246 | Laurie Anne Griffith | Counselor | 300 King of Prussia Rd, 2nd Floor, Radnor, PA 19087 | 2017-08-25 |
1457871279 | Tracy Kornafel | Physical Therapist | 288 Iven Ave, Apt 1a, Wayne, PA 19087 | 2017-06-22 |
1366980153 | Jodi Miller | Physical Therapist | 999 Old Eagle School Rd., Suite 106, Wayne, PA 19087 | 2017-02-01 |
1891244844 | Elite Pt LLC | Physical Therapist | 555 E Lancaster Ave Ste 30, Saint Davids, PA 19087 | 2016-09-30 |
1386190015 | Patrick Hanratty | Counselor | 468 Upper Weadley Rd, Wayne, PA 19087 | 2016-09-01 |
1316494958 | Main Line Day, LLC | Psychologist | 487 Devon Park Drive, Suite 207, Wayne, PA 19087 | 2016-09-01 |
Find all providers in zip 19087 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063031862 | Ganchi Plastic Surgery Center LLC | Clinic/Center | 246 Hamburg Tpke Ste 307, Wayne, NJ 07470-2161 | 2020-04-11 |
1811534555 | Midlantic Urology Surgery Center, LLC | Clinic/Center | Valley Forge Office Center, Suite 100, 676-656 East Swedesford Road, Wayne, PA 19087 | 2019-12-02 |
1366675316 | Laser Spine Surgery Center of Pennsylavnia, LLC | Clinic/Center | 656 E. Swedesford Road, Suite 105, Wayne, PA 19087 | 2009-08-25 |
1316015738 | Kramberg Obs | Clinic/Center | 1350 Rte 23 Nth, Wayne, NJ 07470 | 2006-12-01 |
1831275775 | North Jersey Gastroenterology & Endoscopy Center P.a. | Clinic/Center | 1825 Route 23 South, First Floor, Wayne, NJ 07470 | 2006-10-31 |
1538534243 | Ml Surgery Center, LLC | Clinic/Center | 744 W Lancaster Ave, Wayne, PA 19087-2523 | 2015-12-07 |
1609289065 | North Jersey Vascular Center, LLC | Clinic/Center | 246 Hamburg Tpke, Suite 207, Wayne, NJ 07470-2156 | 2014-06-03 |
1447442785 | Surgicare Surgical Associates of Wayne, LLC | Clinic/Center | 246 Hamburg Tpke, Wayne, NJ 07470-2150 | 2007-08-10 |
1184749673 | Wayne Surgical Center LLC | Clinic/Center | 1176 Hamburg Tpke, Wayne, NJ 07470-5069 | 2007-03-21 |
1184758948 | Surgery Ctr of The Main Line | Clinic/Center | 744 W Lancaster Ave, Suite 110, Wayne, PA 19087-2523 | 2007-03-15 |
Find all providers in WAYNE |
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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.