INNOVATIVE SPINE SURGERY (NPI# 1508095894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508095894 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE SPINE SURGERY |
| Practice Address |
1575 Soquel Dr B Santa Cruz CA 95065-1700 |
| Mailing Address |
140 Pelton Ave Santa Cruz CA 95060-6142 |
| Practice Telephone | 8314646900 |
| Mailing Telephone | 8317138879 |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2009-07-08 |
| Authorized Official Name | DR. MORTEZA M FARR (PHYSICIAN) |
| Authorized Official Telephone | 8317138879 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 020A80782 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1575 SOQUEL DR B |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95065-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871586610 | Robert K Allen | Colon & Rectal Surgery | 1575 Soquel Dr, Santa Cruz, CA 95065-1700 | 2005-08-26 |
| 1720472616 | Ryan J Schmitt | Physician Assistant | 1575 Soquel Dr, Suite C, Santa Cruz, CA 95065-1700 | 2015-03-27 |
| 1619264363 | Surindra N. Mitruka, M.d. A Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1575 Soquel Dr, Suite #c, Santa Cruz, CA 95065-1709 | 2011-07-01 |
| 1073780011 | Monterey Bay Urology Associates | Urology | 1575 Soquel Dr, Santa Cruz, CA 95065-1700 | 2008-05-09 |
| 1306988381 | Santa Cruz Radiation Oncology Medical Group, Incorporated | Radiology | 1575 Soquel Dr, Suite 100, Santa Cruz, CA 95065-1700 | 2007-02-13 |
| 1821145749 | Daniel G Manion | Physician Assistant | 1575 Soquel Dr, Ste C, Santa Cruz, CA 95065-1700 | 2007-01-04 |
| 1932260569 | Edmund L Sacks | Radiology | 1575 Soquel Dr, Santa Cruz, CA 95065-1700 | 2006-12-13 |
| 1013079649 | Charlotte Y Kim | Radiology | 1575 Soquel Dr, Santa Cruz, CA 95065-1700 | 2006-12-13 |
| 1720140353 | Jay A Meisel | Radiology | 1575 Soquel Dr, Santa Cruz, CA 95065-1700 | 2006-12-13 |
| 1508955634 | Akram Esmaeili | Physician Assistant | 1575 Soquel Dr, #b, Santa Cruz, CA 95065-1700 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295335743 | Mindful Living Psychotherapy | Clinic/Center | 24340 Ca-78, Ramona, CA 95065 | 2020-10-26 |
| 1265084297 | Care From The Heart In Home Services, Inc. | In Home Supportive Care | 3141 Paul Sweet Road, Santa Cruz, CA 95065 | 2019-07-10 |
| 1215410188 | Barry Lynn Keeler | Pharmacist | Dominican Plaza Pharmacy, 1595 Soquel Dr Suite 120, Santa Cruz, CA 95065 | 2018-09-07 |
| 1407212582 | Naikan Counseling Center | Community/Behavioral Health | 3319b Mission Drive, Santa Cruz, CA 95065 | 2016-01-05 |
| 1124461587 | Lindsay Mooney | Obstetrics & Gynecology | 2907 Chanticleer Ave Fl 2, Santa Cruz, CA 95065 | 2013-04-16 |
| 1689911398 | Gabriela Alejandra Torres De Fernandez | Dentist | 1588 Soquel Dr Suite 3, Santa Cruz, CA 95065 | 2013-01-15 |
| 1184999211 | Shannon Leigh Purpuri | Midwife | 401 Happy Valley Rd, Santa Cruz, CA 95065 | 2012-03-22 |
| 1619119997 | Himabindu Pitta | Hospitalist | 1555 Soquel Dr., Santa Cruz, CA 95065 | 2009-04-01 |
| 1780834614 | Rym C Partridge | Dentist | 3337 Mission Dr., Santa Cruz, CA 95065 | 2008-09-29 |
| 1710177159 | Jill Bewley | Acupuncturist | 100 Burton Dr, Santa Cruz, CA 95065 | 2007-08-01 |
| Find all providers in zip 95065 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285711242 | Thomas J Welle | Orthopaedic Surgery | 2907 Chanticleer Ave., Santa Cruz, CA 95065-1815 | 2006-11-01 |
| 1407835556 | Karl Christoffersen | Orthopaedic Surgery | 2907 Chanticleer Ave, Santa Cruz, CA 95065-1815 | 2006-01-16 |
| 1326038787 | Elisabeth Siegler | Orthopaedic Surgery | 1505 Soquel Dr, Suite 1, Santa Cruz, CA 95065-1716 | 2005-10-26 |
| 1013261908 | Eric Alexander Hohn | Orthopaedic Surgery | 2018 Mission St, Santa Cruz, CA 95060-5218 | 2012-10-31 |
| 1861787228 | Michael John Lim | Orthopaedic Surgery | 2907 Chanticleer Ave, Santa Cruz, CA 95065-1815 | 2011-06-14 |
| 1154583722 | Raj S Kullar | Orthopaedic Surgery | 2025 Soquel Ave, Santa Cruz, CA 95062-1323 | 2008-06-25 |
| 1871664003 | Stefan Fred Klein | Orthopaedic Surgery | 3143 Paul Sweet Rd, Santa Cruz, CA 95065-1521 | 2006-11-10 |
| 1992884605 | Howard Schwartz | Orthopaedic Surgery | 2025 Soquel Ave, Santa Cruz, CA 95062-1323 | 2006-11-03 |
| 1962589929 | James D. Spiegel | Orthopaedic Surgery | 2907 Chanticleer Ave, Santa Cruz, CA 95065-1815 | 2006-11-01 |
| 1982684221 | Mark Wainer | Orthopaedic Surgery | 2900 Chanticleer Ave, Santa Cruz, CA 95065-1816 | 2006-01-20 |
| Find all providers in SANTA CRUZ | ||||
| City | SANTA CRUZ |
| Zip Code | 95065 |
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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.