THE SPINE TREATMENT CENTER,LLC (NPI# 1225064363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225064363 |
| Entity Type | Organization |
| Organization Name | THE SPINE TREATMENT CENTER,LLC |
| Practice Address |
1111 Glynco Pkwy 3rd Floor Brunswick GA 31525-7921 |
| Practice Telephone | 9122626552 |
| Practice Fax Number | 9122620112 |
| Mailing Telephone | 9122626552 |
| Mailing Fax Number | 9122620112 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MARK A. GOLD (MANAGING MEMBER) |
| Authorized Official Telephone | 9122626552 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
APPLIED | GA | Ambulatory Health Care Facilities |
| Street Address |
1111 GLYNCO PKWY 3RD FLOOR |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31525-7921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922089713 | Northwest Diagnostic Imaging, Inc | Radiology | 1111 Glynco Pkwy, Brunswick, GA 31525-7921 | 2005-11-08 |
| 1639562978 | Tattnall Hospital Company, LLC | Orthopaedic Surgery | 1111 Glynco Pkwy, Suite 30 - A Summit Professional Plaza I, Brunswick, GA 31525-7921 | 2015-03-11 |
| 1487047726 | Optim Orthopedics, LLC | Orthopaedic Surgery | 1111 Glynco Pkwy, Suite 30 - A Summit Professional Plaza I, Brunswick, GA 31525-7921 | 2015-03-11 |
| 1376960179 | Joseph Durant | Specialist | 1111 Glynco Pkwy, Ste. 400, Brunswick, GA 31525-7921 | 2014-03-19 |
| 1760815880 | Kendra Curry | Social Worker | 1111 Glynco Pkwy, Bldg 2, Suite 200, Brunswick, GA 31525-7921 | 2013-08-12 |
| 1144575168 | Karah Lynn Brown | Physician Assistant | 1111 Glynco Pkwy, #2-100, Brunswick, GA 31525-7921 | 2012-07-16 |
| 1659643955 | Costrini & Meadows PC | Internal Medicine | 1111 Glynco Pkwy, Suite 410, Brunswick, GA 31525-7921 | 2012-02-01 |
| 1285917401 | Micah Henderson Lancaster | Physician Assistant | 1111 Glynco Pkwy, Building 1, Suite 20, Brunswick, GA 31525-7921 | 2011-09-23 |
| 1114215498 | Florida Bracing Centers, Inc. | Prosthetic/Orthotic Supplier | 1111 Glynco Pkwy, Building 2, Suite 110, Brunswick, GA 31525-7921 | 2011-07-20 |
| 1801105275 | Dublin Vamc | Clinic/Center | 1111 Glynco Pkwy, Summit Professional Plaza, Suite 200, Brunswick, GA 31525-7921 | 2010-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063905990 | Jonathon Wesley Capps | Physician Assistant | 1111 Glynco Pkwy Bldg 1, Ste 10, Brunswick, GA 31525 | 2018-06-14 |
| 1366993628 | Hands Down Muscle Restoration, Inc | Homeopath | 1212 Chapel Crossing Road, Brunswick, GA 31525 | 2016-10-20 |
| 1619424173 | Jebediah S Christy Dds - Brunswick Pllc | Dentist | 11455 Canal Crossing, Brunswick, GA 31525 | 2016-09-01 |
| 1831545508 | Heller Family Medicine, LLC | General Practice | 208 Scranton Connector Ste 120, Brunswick, GA 31525 | 2016-05-11 |
| 1437525391 | Natisha Danielle Hill | Occupational Therapy Assistant | 138 Wingefield Commons Drive, Brunswick, GA 31525 | 2015-08-14 |
| 1811269632 | Solar Family Practice | Family Medicine | 122 Scranton Connector, Suite 112, Brunswick, GA 31525 | 2012-02-09 |
| 1700187895 | Chetan Patel | Pharmacist | 12 Woodfall Ct, Brunswick, GA 31525 | 2010-11-05 |
| 1194914275 | Dialysis of Golden Isles, LLC | Clinic/Center | 475 Gateway Center Blvd, Brunswick, GA 31525 | 2007-10-15 |
| 1902939325 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Frazier Street, Brunswick, GA 31525 | 2007-03-14 |
| 1609909498 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 115 Frazier Road, Brunswick, GA 31525 | 2007-03-13 |
| Find all providers in zip 31525 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780694455 | J Melvin Deese Jr, Md PC | Clinic/Center | 1111 Glynco Pkwy Ste 100, Brunswick, GA 31525-7922 | 2006-08-08 |
| 1336163096 | Cooperative Healthcare Services, Inc. | Clinic/Center | 2916 Glynn Ave, Brunswick, GA 31520-4844 | 2006-07-27 |
| 1225023021 | Arc of Georgia, LLC | Clinic/Center | 3243 Glynn Ave, Brunswick, GA 31520-4851 | 2005-09-18 |
| 1134589054 | Apex Surgery Center, LLC | Clinic/Center | 3243 Glynn Ave, Brunswick, GA 31520-4851 | 2016-03-04 |
| 1376797332 | Renue Surgery Center LLC | Clinic/Center | 2500 Starling St, Suite 604, Brunswick, GA 31520-4265 | 2008-11-04 |
| 1740336577 | Coastal Pain Center, LLC | Clinic/Center | 3221 Glynn Ave, Brunswick, GA 31520-4851 | 2007-01-26 |
| 1154422541 | Brunswick Pain Treatment Center, LLC | Clinic/Center | 1111 Glynco Pkwy, 3rd Floor, Brunswick, GA 31525 | 2006-09-26 |
| 1760491385 | Endoscopy Center of Northern Ohio, LLC | Clinic/Center | 1299 Industrial Parkway North, Suite 120, Brunswick, OH 44212-4316 | 2006-08-05 |
| 1043225865 | Golden Isles Foot Surgery Center | Clinic/Center | 10 Professional Dr, Brunswick, GA 31520-3774 | 2006-07-30 |
| 1922054410 | Brunswick Endoscopy Center, LLC | Clinic/Center | 3217 4th St, Brunswick, GA 31520-3759 | 2006-05-26 |
| Find all providers in BRUNSWICK | ||||
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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.