SPINE SPECIALISTS OF AMERICA LLC (NPI# 1881022903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881022903 |
| Entity Type | Organization |
| Organization Name | SPINE SPECIALISTS OF AMERICA LLC |
| Other Organization Name | SPINE SPECIALISTS NETWORK |
| Practice Address |
13035 W Linebaugh Ave Ste 101f Tampa FL 33626-4481 |
| Practice Telephone | 7274749729 |
| Practice Fax Number | 7274749947 |
| Mailing Telephone | 7274749729 |
| Mailing Fax Number | 7274749947 |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |
| Authorized Official Name | ERIC K GROTEKE (MEMBER) |
| Authorized Official Telephone | 7274749729 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
ME54499 | FL | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
ME115987 | FL | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
ME85743 | FL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Spine Specialists Network | Doing Business As Name - Organization |
| Street Address |
13035 W LINEBAUGH AVE STE 101F |
| City | TAMPA |
| State | FL |
| Zip Code | 33626-4481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028447 | Ezphyzio Pllc | Physical Therapist | 11269 Windsor Place Circle, Tampa, FL 33626 | 2020-09-21 |
| 1831737451 | Emily Anne Desarden | Behavior Technician | 8001 Beaty Gorove Dr., Tampa, FL 33626 | 2019-12-13 |
| 1730747395 | Michael A. Pikos, Dds Pa | Oral & Maxillofacial Surgery | 11940 Sheldon Road, Tampa, FL 33626 | 2019-05-30 |
| 1659841229 | Mariana Alejandra Salgado | Behavior Technician | 8001 Beaty Grove Drive, Tampa, FL 33626 | 2018-11-27 |
| 1528563525 | Amanda Ashley Metzger | Chiropractor | 8377 Gunn Hwy, Tampa, FL 33626 | 2018-03-29 |
| 1568971844 | Lindsey Nicole Miller | Behavior Technician | 12725 Race Track Rd Bldg 5, Tampa, FL 33626 | 2017-09-29 |
| 1003335571 | Tampa Life Counseling, LLC | Counselor | 13035 W. Linebaugh Ave #101 Ste G, Tampa, FL 33626 | 2017-09-15 |
| 1033635149 | Peak Payer Solutions, Inc. | General Practice | 12332 Race Track Road, Tampa, FL 33626 | 2017-08-21 |
| 1578098414 | Alexis Brooke Cross | Speech-Language Pathologist | 11672 Crowned Sparrow Ln, Tampa, FL 33626 | 2017-04-28 |
| 1568904084 | Megan Krone | Assistant Behavior Analyst | 2725 Race Track Rd Building Number 5, Westchase, FL 33626 | 2016-11-15 |
| Find all providers in zip 33626 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023467974 | Pain and Supportive Care, Pa | Pain Medicine | 6612 Thornton Palms Dr, Tampa, FL 33647-5104 | 2016-06-10 |
| 1265625321 | Stephen D. Watson | Pain Medicine | 10903 Sheldon Rd, Tampa, FL 33626-4702 | 2007-08-22 |
| 1912105172 | Florida Gulf To Bay Anesthesiology Pain LLC | Pain Medicine | 118 S Oregon Ave, Tampa, FL 33606-1820 | 2007-07-10 |
| 1871791368 | Advanced Pain Care, Inc. | Pain Medicine | 1921 W Martin Luther King, Jr Blvd, Tampa, FL 33607 | 2007-07-05 |
| 1689880635 | Neurological Pain & Rehabilitation Institute LLC | Pain Medicine | 3010 E. 138th Ave, Suite #100, Tampa, FL 33613 | 2007-05-15 |
| 1558488452 | Alliance Medical Pain Management L L C | Pain Medicine | 10213 Lake Carroll Way, Suite A, Tampa, FL 33618-4405 | 2007-03-23 |
| 1407839806 | Dario Aquiles Grisales | Pain Medicine | 16542 N Dale Mabry Hwy, Tampa, FL 33618-1325 | 2005-11-21 |
| 1477183085 | Naps Medical LLC | Pain Medicine | 5810 W Cypress St Ste D, Tampa, FL 33607-1780 | 2020-01-22 |
| 1487028387 | Texas Pain Relief Group, Pllc | Pain Medicine | 4730 N Habana Ave Ste 300, Tampa, FL 33614-7148 | 2015-11-17 |
| 1043556186 | Erick A Grana Md Pa | Pain Medicine | 8011 N Himes Ave, Ste 2, Tampa, FL 33614-2700 | 2012-12-18 |
| Find all providers in TAMPA | ||||
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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.