ADVANCED SPINE JOINT AND WELLNESS CENTER (NPI# 1881068427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881068427 |
| Entity Type | Organization |
| Organization Name | ADVANCED SPINE JOINT AND WELLNESS CENTER |
| Practice Address |
3591 Reserve Commons Dr Suite 100 Medina OH 44256-5334 |
| Practice Telephone | 3307216504 |
| Practice Fax Number | 3307216508 |
| Mailing Telephone | 3307216504 |
| Mailing Fax Number | 3307216508 |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2015-11-19 |
| Authorized Official Name | TROY NAFTZGER (OWNER) |
| Authorized Official Telephone | 3307216504 |
| Authorized Official Credential | PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081N0008X |
Physical Medicine & Rehabilitation Specialization: Neuromuscular Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0085605 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376881144 | Advanced Spine Joint and Wellness Center | Family Medicine | 5020 Victor Dr, Medina, OH 44256-9688 | 2013-01-29 |
| Street Address |
3591 RESERVE COMMONS DR SUITE 100 |
| City | MEDINA |
| State | OH |
| Zip Code | 44256-5334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699720649 | Kathleen Gayle Kunkle | Psychologist | 3591 Reserve Commons Dr, Suite 301, Medina, OH 44256-5334 | 2006-05-24 |
| 1144770470 | Megan Schaecher-pecek | Psychologist | 3591 Reserve Commons Dr, Suite 301, Medina, OH 44256-5334 | 2016-10-11 |
| 1154871481 | Andrienne Turner | Social Worker | 3591 Reserve Commons Dr, Suite 301, Medina, OH 44256-5334 | 2016-10-11 |
| 1790233914 | Robert Tittl | Physical Therapy Assistant | 3591 Reserve Commons Dr, Suite 100, Medina, OH 44256-5334 | 2016-09-16 |
| 1740737873 | Michelle Mctighe | Physical Therapy Assistant | 3591 Reserve Commons Dr, Suite 100, Medina, OH 44256-5334 | 2016-09-07 |
| 1053775221 | Susan Brewer | Social Worker | 3591 Reserve Commons Dr, Suite 301, Medina, OH 44256-5334 | 2016-04-13 |
| 1235505447 | Colleen Fritz | Social Worker | 3591 Reserve Commons Dr, Suite 301, Medina, OH 44256-5334 | 2015-08-12 |
| 1669853958 | Psychology Consultants Inc. | Behavioral Analyst | 3591 Reserve Commons Dr, Suite 301, Medina, OH 44256-5334 | 2015-06-12 |
| 1932523834 | Alex S Maryles | Psychologist | 3591 Reserve Commons Dr, Suite 301, Medina, OH 44256-5334 | 2014-02-12 |
| 1598192551 | Erika Staneff | Psychologist | 3591 Reserve Commons Dr, Suite 301, Medina, OH 44256-5334 | 2013-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215577408 | Phil Mcclelland | Counselor | 520 Miller Dr, Medina, OH 44256 | 2020-01-15 |
| 1619519444 | Lauren Marie Blakney | Nurse Practitioner | 970 E Washington St., Medina, OH 44256 | 2019-10-14 |
| 1558922286 | Jennifer Sue Arhin | Nurse Practitioner | 807 E Washington St., Ste 220, Medina, OH 44256 | 2019-06-24 |
| 1891263927 | Jena Christine Palmer | Nurse Practitioner | 817 E Washington Street, Medina, OH 44256 | 2018-11-07 |
| 1154849891 | Janelle Liggett-schultz | Licensed Practical Nurse | 8170 Coon Club Rd, Medina, OH 44256 | 2017-09-01 |
| 1942725478 | Amanda Kay Byrne | Registered Nurse | 1000 Concord Dr., Medina, OH 44256 | 2017-08-05 |
| 1821526922 | Melissa Marie Rutti | Nurse Practitioner | 111 Reagan Pkwy, Medina, OH 44256 | 2017-06-01 |
| 1992238919 | Lisa Scherler | Speech-Language Pathologist | 3880 Ridge Rd., Medina, OH 44256 | 2017-04-06 |
| 1770026502 | Victoria Lee Ayala | Speech-Language Pathologist | 390 Fair Street, Berea, OH 44256 | 2016-11-28 |
| 1982076626 | Finding Your Identity LLC | Community/Behavioral Health | 124 West Lafayette Road, Suite 100, Medina, OH 44256 | 2015-10-21 |
| Find all providers in zip 44256 | ||||
| Taxonomy Code | 2081N0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Neuromuscular Medicine |
| A physician who specializes in neuromuscular medicine possesses specialized knowledge in the science, clinical evaluation and management of these disorders. This encompasses the knowledge of the pathology, diagnosis and treatment of these disorders at a level that is significantly beyond the training and knowledge expected of a general neurologist, child neurologist or physiatrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528318359 | Laurie Lou Peters | Physical Medicine & Rehabilitation | 12 Garden Rd, Columbus, OH 43214-2167 | 2012-09-19 |
| 1649896440 | Scott Allen Whited | Physical Medicine & Rehabilitation | 14176 National Rd Sw, Etna, OH 43068-3363 | 2020-06-18 |
| 1407411515 | Andrew Williams | Physical Medicine & Rehabilitation | 4320 Bridgetown Rd, Cincinnati, OH 45211-4428 | 2019-05-03 |
| 1104176635 | Backbone Wellness Institute LLC | Physical Medicine & Rehabilitation | 9879 Montgomery Rd, Cincinnati, OH 45242-6424 | 2012-09-12 |
| 1346545381 | Patrick John Frank | Physical Medicine & Rehabilitation | 2725 Abington Rd, Ste 201, Fairlawn, OH 44333-4057 | 2011-01-24 |
| 1194051185 | 3535 Surgical Group | Physical Medicine & Rehabilitation | 3535 Lee Rd, Shaker Heights, OH 44120-5122 | 2009-10-26 |
| 1174653976 | William David Arnold | Physical Medicine & Rehabilitation | 543 Taylor Ave, Columbus, OH 43203-1278 | 2007-03-07 |
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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.