MADISON SPINE SURGERY CENTER, LLC (NPI# 1497391619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497391619 |
| Entity Type | Organization |
| Organization Name | MADISON SPINE SURGERY CENTER, LLC |
| Practice Address |
160 Fountains Blvd Ste C Madison MS 39110-6380 |
| Mailing Address |
1080 River Oaks Dr Ste B103 Flowood MS 39232-7602 |
| Practice Telephone | 6013211504 |
| Practice Fax Number | 6019326111 |
| Mailing Telephone | 6013211504 |
| Mailing Fax Number | 6019326111 |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2019-11-22 |
| Authorized Official Name | ADAM I LEWIS (PHYSICIAN OWNER) |
| Authorized Official Telephone | 6013211504 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
160 FOUNTAINS BLVD STE C |
| City | MADISON |
| State | MS |
| Zip Code | 39110-6380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134784689 | Therapy South - Gluckstadt LLC | Physical Therapist | 1716 Us 51, Ste N, Madison, MS 39110 | 2019-05-09 |
| 1871054098 | Summit Medical Solutions | Durable Medical Equipment & Medical Supplies | 107 Azalea Street, Madison, MS 39110 | 2019-03-29 |
| 1912488198 | Madison Medical Compounding Pharmacy | Pharmacy | 111 Fountains Blvd. Building B Ste. A, Madison, MS 39110 | 2018-08-24 |
| 1679061469 | Nuvena Vein Clinic | Anesthesiology | 120 Fountains Blvd, Madison, MS 39110 | 2018-04-26 |
| 1467960484 | Brick City Drugs, LLC | Durable Medical Equipment & Medical Supplies | 159 Fountains Blvd, Madison, MS 39110 | 2018-01-11 |
| 1093227589 | Hannah Monk Hawthorne | Counselor | 930 Ebenezer Blvd., Suite D, Madisin, MS 39110 | 2017-10-25 |
| 1548786650 | Kimberly Allen | Pharmacist | 1100 Us- 51, Madison, MS 39110 | 2017-08-21 |
| 1891218186 | Delta Elizabeth Stark | Chiropractor | 1085 Gluckstadt Rd., Bld 300 Ste E, Madison, MS 39110 | 2017-07-19 |
| 1861914848 | Laura Hartlein | Dietitian, Registered | 200 Park Circle Dr. #2, Flowood, MS 39110 | 2017-07-12 |
| 1831620608 | Ona Irby | Occupational Therapist | 105 Munich Dr, Madison, MS 39110 | 2017-03-23 |
| Find all providers in zip 39110 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487094058 | Comprehensive Pain Center for Surgery | Clinic/Center | 129 Fountains Blvd., Madison, MS 39110 | 2013-06-27 |
| 1720017973 | Surgi Center of Greater Madison, LLC | Clinic/Center | 34 Schroeder Ct, Ste 100, Madison, WI 53711-2525 | 2006-07-01 |
| 1679570774 | Novamed Surgery Center of Madison, Limited Partnership | Clinic/Center | 1200 John Q Hammons Dr, Suite 102, Madison, WI 53717-1959 | 2005-07-05 |
| 1245233220 | Northridge Surgery Center, Lp | Clinic/Center | 647 Myatt Dr, Madison, TN 37115-2125 | 2005-05-24 |
| 1093214819 | Premier Surgical Center, LLC | Clinic/Center | 160 Fountains Blvd, Madison, MS 39110 | 2018-02-07 |
| 1528259686 | Madison Surgicare Center, Pllc | Clinic/Center | 106 Highland Way, Madison, MS 39110-6915 | 2007-08-05 |
| 1982895041 | Madison Neurosurgery, Pllc | Clinic/Center | 106 Highland Way, Madison, MS 39110-6915 | 2007-08-05 |
| 1609067768 | Madison General Surgery, Pllc | Clinic/Center | 106 Highland Way, Madison, MS 39110-6915 | 2007-08-05 |
| 1255522314 | Madison Pain Management, Pllc | Clinic/Center | 106 Highland Way, Madison, MS 39110-6915 | 2007-08-05 |
| 1235201369 | Dean Health Systems, Inc. | Clinic/Center | 1025 Regent St, Madison, WI 53715-1248 | 2006-11-14 |
| Find all providers in MADISON | ||||
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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.