PINNACLE BRAIN AND SPINE CENTER (NPI# 1457462731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457462731 |
Entity Type | Organization |
Organization Name | PINNACLE BRAIN AND SPINE CENTER |
Practice Address |
6701 Airport Blvd Ste D146 Mobile AL 36608-6701 |
Practice Telephone | 2516335155 |
Practice Fax Number | 2516335125 |
Mailing Telephone | 2516335155 |
Mailing Fax Number | 2516335125 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2013-09-09 |
Authorized Official Name | DR. JUAN FELIX RONDEROS (MD/OWNER) |
Authorized Official Telephone | 2516335155 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207T00000X | Neurological Surgery | 00012906 | AL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | 529923400 | 05 | |
AL | MEDICARE RAILROAD | DD3322 | 01 |
Street Address |
6701 AIRPORT BLVD STE D146 |
City | MOBILE |
State | AL |
Zip Code | 36608-6701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306849575 | Shawn B Clark | Neurological Surgery | 6701 Airport Blvd Ste D146, Mobile, AL 36608-3784 | 2005-05-23 |
1912537903 | Hallie Marie Taylor | Physician Assistant | 6701 Airport Blvd Ste D146, Mobile, AL 36608-6701 | 2020-01-19 |
1609867803 | James Ronald Hirsch | Neurological Surgery | 6701 Airport Blvd Ste D146, Mobile, AL 36608-6701 | 2005-11-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
1558980409 | Rachel Stevens | Registered Nurse | 8507 Tanner Williams Rd, Mobile, AL 36608 | 2020-04-10 |
1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
1730575416 | Rayven Likely | Student in an Organized Health Care Education/Training Program | 1014 Centerwood Dr, Mobile, AL 36608 | 2015-04-09 |
1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
1972884948 | Heidi Michelle Mcdermott | Physical Therapist | 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 | 2011-09-06 |
Find all providers in zip 36608 |
Taxonomy Code | 207T00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Neurological Surgery |
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205128790 | Richard Philip Menger | Neurological Surgery | 1604 Center Street, Ste 2s, Mobile, AL 36604-1541 | 2011-05-03 |
1225299589 | Amber Shea Gordon | Neurological Surgery | 3 Mobile Infirmary Cir Ste 201a, Mobile, AL 36607-3514 | 2008-06-19 |
1932100112 | William Brenton Faircloth | Neurological Surgery | 3280 Dauphin St, Building A, Mobile, AL 36606-4060 | 2005-08-10 |
1306849575 | Shawn B Clark | Neurological Surgery | 6701 Airport Blvd Ste D146, Mobile, AL 36608-3784 | 2005-05-23 |
1710545140 | Usa Health Physician Billing Services LLC | Neurological Surgery | 1601 Center St, Mobile, AL 36604-1541 | 2019-05-31 |
1073031969 | Mobile Infirmary Association | Neurological Surgery | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2017-08-31 |
1316306947 | University of South Alabama | Neurological Surgery | 1601 Center St Ste 2s, Mobile, AL 36604-1541 | 2016-02-10 |
1477998532 | Jai Deep Thakur | Neurological Surgery | 1601 Center St, Mobile, AL 36604-1541 | 2013-05-02 |
1922178656 | William Wallace Scott | Neurological Surgery | 1601 Center St, Ste 2s, Mobile, AL 36604-1512 | 2006-11-09 |
1093810574 | Jeremy W Amps | Neurological Surgery | 6701 Airport Blvd, Suite D146, Mobile, AL 36608 | 2006-09-13 |
Find all providers in MOBILE |
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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.