ADVANCED SPINE AND PAIN PLLC (NPI# 1134490311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134490311 |
| Entity Type | Organization |
| Organization Name | ADVANCED SPINE AND PAIN PLLC |
| Practice Address |
1625 N George Mason Drive Suite 345 Arlington VA 22205 |
| Mailing Address |
217 E. Churchville Road Bel Air MD 21014 |
| Practice Telephone | 7035222727 |
| Practice Fax Number | 7035423753 |
| Mailing Telephone | 4108384717 |
| Mailing Fax Number | 4108384917 |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2012-01-20 |
| Authorized Official Name | DR. THOMAS RALEY (PRINCIPAL) |
| Authorized Official Telephone | 7035222727 |
| 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 |
0101243103 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407478332 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 550 Ritchie Hwy Ste K, Severna Park, MD 21146-2953 | 2020-05-14 |
| 1144849100 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 1715 N George Mason Dr Ste 102, Arlington, VA 22205-3637 | 2020-04-10 |
| 1134748221 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 11230 Waples Mill Rd Ste 114c, Fairfax, VA 22030-5026 | 2020-04-09 |
| 1255695490 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 2046 Jefferson Davis Hwy, 103, Stafford, VA 22554-7276 | 2012-07-03 |
| 1609498179 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 3500 Boston St Ste J2, Baltimore, MD 21224-5251 | 2020-05-07 |
| 1225657281 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 2296 Opitz Blvd Ste 210, Woodbridge, VA 22191-3345 | 2020-04-10 |
| 1437627080 | Advanced Spine and Pain Pllc | Anesthesiology | 11760 S 700 E Ste 112, Draper, UT 84020-6605 | 2018-11-12 |
| 1659722882 | Advanced Spine and Pain Pllc | Anesthesiology | 22255 Greenfield Rd, Suite 500, Southfield, MI 48075-3710 | 2016-06-29 |
| 1831467166 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 450 Garrisonville Rd, Suite 109, Stafford, VA 22554 | 2011-12-01 |
| 1215266267 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 450 Garrisonville Rd, Suite 109, Stafford, VA 22554 | 2009-12-21 |
| Street Address |
1625 N GEORGE MASON DRIVE SUITE 345 |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417315722 | Ruth Jannet Figueroa Lopez | Dentist | Blvd Cucapah 19961-9, Ampliacion Loma Bonita, Tijuana, BAJA CALIFORNIA 22205 | 2016-02-01 |
| 1083004394 | Ashley Pullum | Behavioral Analyst | 874 N Nottingham St, Arlington, VA 22205 | 2015-01-26 |
| 1548601529 | Whitney C Pelton | Physical Therapist | 5910 Wilson Blvd, Sunrise Bluemont, Arlington, VA 22205 | 2013-07-08 |
| 1518269638 | Arle Zelma Samuels | Pharmacist | 5105 W1ilson Blvd, Arlington, VA 22205 | 2010-11-22 |
| 1255640686 | Geatenet G Wasia | Pharmacist | 4851 N Washington Blvd, Arlington, VA 22205 | 2010-10-04 |
| 1518272327 | Alexis S Speight | Counselor | 1725 North George Mason Dr., Arlington, VA 22205 | 2010-08-17 |
| 1821224437 | Myriam Ferzli | Obstetrics & Gynecology | 1635 N George Mason Dr Ste 190, Arlington, VA 22205 | 2009-06-09 |
| 1427232685 | United Rehab Inc. | Home Health | 1661 N. Longfellow Street, Arlington, VA 22205 | 2007-12-24 |
| 1144426404 | Teri E Minehart | Nurse Practitioner | 1701 No. George Mason Drive, Arlington, VA 22205 | 2007-06-25 |
| 1801008172 | Jason Eric Grandeo | Physical Therapist | 5130 Wilson Blvd, Suite B-1, Arlington, VA 22205 | 2007-05-07 |
| Find all providers in zip 22205 | ||||
| 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 |
|---|---|---|---|---|
| 1134562051 | Elliott Jiwoo Kim | Orthopaedic Surgery | 1635 N George Mason Dr Ste 310, Arlington, VA 22205-3616 | 2013-04-10 |
| 1447290044 | Michael Logan Ramsey | Orthopaedic Surgery | 800 Orthopedic Way, Arlington, TX 76015-1629 | 2006-06-08 |
| 1497740518 | Eric S. Wieser | Orthopaedic Surgery | 800 Orthopedic Way, Arlington, TX 76015-1629 | 2005-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883192 | Spine Center PC | Orthopaedic Surgery | 2726 Electric Rd Ste 203a, Roanoke, VA 24018-3528 | 2020-05-18 |
| 1992299598 | Hasz Spine Institute PC | Orthopaedic Surgery | 1830 Town Center Dr Ste 102, Reston, VA 20190-3216 | 2018-06-18 |
| 1881188506 | Nikhil Jain | Orthopaedic Surgery | 1215 Lee St - Box Number 800159, Charlottesville, VA 22908-0816 | 2018-06-16 |
| 1922516806 | Joint Replacement Cin of Northern Virginia LLC | Orthopaedic Surgery | 1900 Campus Commons Dr Ste 100a, Reston, VA 20191-1561 | 2018-01-13 |
| 1255695490 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 2046 Jefferson Davis Hwy, 103, Stafford, VA 22554-7276 | 2012-07-03 |
| 1831426204 | Maryview Hospital | Orthopaedic Surgery | 5838 Harbour View Blvd Ste 100, Suffolk, VA 23435-2663 | 2009-11-05 |
| 1144403262 | Kirven Orthopedic Group, P.C. | Orthopaedic Surgery | 5701 Cleveland Street, Suite 600, Virginia Beach, VA 23462 | 2007-12-12 |
| 1699859058 | Adel S Kebaish | Orthopaedic Surgery | 7787 Leesburg Pike, B, Falls Church, VA 22043-2412 | 2006-10-24 |
| 1063469393 | Sohail K Mirza | Orthopaedic Surgery | 4250 Chain Bridge Rd, Fairfax, VA 22030-4214 | 2006-05-30 |
| 1659340412 | Thomas C Schuler | Orthopaedic Surgery | 11800 Sunrise Valley Dr Ste 600, Reston, VA 20191 | 2006-03-15 |
| 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.