SPINE ORTHOPAEDIC & PAIN SURGICAL PARTNERS LLC (NPI# 1790210417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790210417 |
| Entity Type | Organization |
| Organization Name | SPINE ORTHOPAEDIC & PAIN SURGICAL PARTNERS LLC |
| Practice Address |
15119 Wallisville Rd #200 Houston TX 77049-4630 |
| Practice Telephone | 2819848799 |
| Practice Fax Number | 8329415533 |
| Mailing Telephone | 2819848799 |
| Mailing Fax Number | 8329415533 |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-05-01 |
| Authorized Official Name | MS. LISA M BUTCHER (ADMINISTRATOR) |
| Authorized Official Telephone | 2819848799 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
M9835 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
15119 WALLISVILLE RD #200 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77049-4630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841629763 | East Side Family Practice LLC | Family Medicine | 15119 Wallisville Rd, Suite 700, Houston, TX 77049-4630 | 2013-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770059032 | Cheryl Melissa Lewis | Nurse Practitioner | 18360 Wallisville Road, Houston, TX 77049 | 2018-10-15 |
| 1962757898 | Lmr Webster Street Pharmacy Incorporated | Pharmacy | 11519 Wallisville Rd Ste 500, Houston, TX 77049 | 2012-07-17 |
| 1083816458 | Wallisville Dental Associates, Pa | Dentist | 14570 Wallisville Road, Suite 2, Houston, TX 77049 | 2007-06-05 |
| 1144376823 | Phuong T Nguyen | Dentist | 14570 Wallisville Rd Suite #2, Houston, TX 77049 | 2007-01-26 |
| 1366524324 | Gmn Vision LLC | Durable Medical Equipment & Medical Supplies | 14570 Wallisville Rd, Suite 3b, Houston, TX 77049 | 2006-10-19 |
| 1801993795 | Jadalia Home Health Agency, Inc. | Home Health | 14651 Leacrest Drive, Houston, TX 77049 | 2006-09-20 |
| 1881662344 | South Lake Houston Emergency Medical Services | Ambulance | 14418 Beaumont Highway, Houston, TX 77049 | 2006-03-10 |
| 1770579872 | Karen Elizabeth Smith-cook | Pediatrics | 13711 Wallisville Rd, Houston, TX 77049 | 2005-09-23 |
| 1275015489 | Alexander Chernyshov | Counselor | 13711 Wallisville Rd, Houston, TX 77049 | 2018-09-04 |
| 1295090389 | Oyelola Omowunmi Atobajeun | Dentist | 5607 Uvalde Rd, Houston, TX 77049 | 2012-07-05 |
| Find all providers in zip 77049 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659742229 | Nobilis Health Network Specialist Pllc | Orthopaedic Surgery | 11700 Katy Fwy, Suite 300, Houston, TX 77079-1216 | 2015-10-08 |
| 1750623252 | Daren J Mccalla | Orthopaedic Surgery | 7700 Main St Ste 400, Houston, TX 77030-4456 | 2013-03-22 |
| 1972752228 | Ra'kerry Kahlil Rahman | Orthopaedic Surgery | 2656 S Loop W Ste 595, Houston, TX 77054-5618 | 2008-09-11 |
| 1962676122 | Northeast Houston Spine Center Pa | Orthopaedic Surgery | 14450 T.c. Jester, Suite 100, Houston, TX 77014-1331 | 2008-04-18 |
| 1144407032 | Orthopaedic Institute for Spinal Disorders, P.a | Orthopaedic Surgery | 2500 Fondren Rd Ste 210, Houston, TX 77063-2313 | 2008-01-23 |
| 1790979342 | Gulf Coast Spine Care Ltd., Pa | Orthopaedic Surgery | 1200 Binz St Ste 970, Houston, TX 77004-6946 | 2007-08-28 |
| 1770624793 | Hosun Hwang | Orthopaedic Surgery | 18220 State Highway 249 Ste 300, Houston, TX 77070-4370 | 2007-02-11 |
| 1538221148 | Northshore Orthopedics Assoc | Orthopaedic Surgery | 5225 Katy Freeway, Suite 600, Houston, TX 77007 | 2006-12-14 |
| 1649212531 | Richard Randolph Maxwell Francis | Orthopaedic Surgery | 9301 Southwest Fwy, Suite 600, Houston, TX 77074-1510 | 2006-06-12 |
| 1083686539 | Saqib A Siddiqui | Orthopaedic Surgery | 14450 Tc Jester, Suite 100, Houston, TX 77014-1331 | 2006-02-07 |
| Find all providers in HOUSTON | ||||
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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.