SCUDERIA SPINALE, PLLC (NPI# 1104441989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104441989 |
| Entity Type | Organization |
| Organization Name | SCUDERIA SPINALE, PLLC |
| Practice Address |
10710 S Fir Pl Jenks OK 74037-3026 |
| Practice Telephone | 9188133901 |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-19 |
| Authorized Official Name | IAN RIVERA-COLON (PROVIDER) |
| Authorized Official Telephone | 9189364295 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians |
| Street Address |
10710 S FIR PL |
| City | JENKS |
| State | OK |
| Zip Code | 74037-3026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437795507 | Brittanee Perez | Nurse Practitioner | 12813 South Ash Street, Jenks, OK 74037 | 2019-11-22 |
| 1790340743 | Hoppek Dental Pllc | Dentist | 202 South 2nd Street, Jenks, OK 74037 | 2019-05-06 |
| 1013570357 | Select Physical Therapy Holdings Inc. | Clinic/Center | 3402 W 114th St, Suite 101, Jenks, OK 74037 | 2019-04-22 |
| 1881170520 | Beair Medical Group, Pllc | Counselor | 201 W. Main Street, Suite 101, Jenks, OK 74037 | 2018-07-16 |
| 1336646975 | Milagros Mirdo | Nurse Practitioner | 2897 W 112th Pl S, Jenks, OK 74037 | 2018-04-10 |
| 1649779216 | Bristow Endeavor Healthcare, LLC | Pain Medicine | 512 N. Franklin Street, 2nd Floor, Jenks, OK 74037 | 2018-02-08 |
| 1114435666 | Bristow Endeavor Healthcare, LLC | Special Hospital | 3029 W. Main Street, Jenks, OK 74037 | 2018-01-18 |
| 1720590748 | Heath Bryan Coleman, Dds of Oklahoma II, Pllc | Dentist | 11476 S Union Ave, Suite 102, Jenks, OK 74037 | 2017-10-31 |
| 1245778877 | Marriage and Family Solutions, LLC | Marriage & Family Therapist | 418 East B Street, Suite A, Jenks, OK 74037 | 2017-02-02 |
| 1265975916 | Lauren Key | Case Manager/Care Coordinator | 208 Fox Run Circle, Jenks, OK 74037 | 2016-11-29 |
| Find all providers in zip 74037 | ||||
| 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 |
|---|---|---|---|---|
| 1255893335 | Sok Care of Ok, LLC | Orthopaedic Surgery | 10601 S Western Ave Ste 3, Oklahoma City, OK 73170-6201 | 2019-04-05 |
| 1568934859 | Orthopedic Spine Associates | Orthopaedic Surgery | 14100 Parkway Commons Dr Ste 101, Oklahoma City, OK 73134-6036 | 2018-12-26 |
| 1013488048 | Essential Integrative Health Pllc | Orthopaedic Surgery | 3705 Nw 63rd St Ste 201, Oklahoma City, OK 73116-1937 | 2018-12-17 |
| 1154820009 | Spine Cin of Oklahoma City LLC | Orthopaedic Surgery | 10601 S Western Ave # 1, Oklahoma City, OK 73170-6201 | 2018-02-06 |
| 1619476561 | Joint Replacement Cin of Oklahoma City LLC | Orthopaedic Surgery | 10601 S Western Ave # 2, Oklahoma City, OK 73170-6201 | 2018-02-06 |
| 1952724494 | Jeffrey Schimandle | Orthopaedic Surgery | 6112 N Villa Ave, Oklahoma City, OK 73112-7159 | 2014-02-03 |
| 1659627289 | Southwest Orthopaedic Specialists, Pllc | Orthopaedic Surgery | 2506 North Harrison Avenue, Shawnee, OK 74804-4022 | 2012-08-01 |
| 1881816197 | Kris Parchuri | Orthopaedic Surgery | 8165 S Mingo Rd Ste 201, Tulsa, OK 74133-4668 | 2007-05-03 |
| 1831270511 | Ernest Alexander L'heureux Jr. | Orthopaedic Surgery | 1405 Nw 150th St, Edmond, OK 73013-1305 | 2006-10-18 |
| 1013912617 | Cheng-lun Soo | Orthopaedic Surgery | 9821 S May Ave Ste B, Oklahoma City, OK 73159-7042 | 2005-06-20 |
| Find all providers with the same taxonomy | ||||
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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.