LASER SPINE SURGERY CENTER OF CINCINNATI (NPI# 1518373810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518373810 |
| Entity Type | Organization |
| Organization Name | LASER SPINE SURGERY CENTER OF CINCINNATI |
| Practice Address |
644 Eden Park Dr Cincinnati OH 45202-6031 |
| Mailing Address |
5332 Avion Park Dr Tampa FL 33607-1412 |
| Practice Telephone | 5139066956 |
| Practice Fax Number | 4842531790 |
| Mailing Telephone | 8136822944 |
| Mailing Fax Number | 4842531790 |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2017-01-12 |
| Authorized Official Name | DR. MICHAEL W PERRY (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8132899613 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | LSI HOLDCO, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
644 EDEN PARK DR |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45202-6031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669619482 | Jennifer Miller | Physician Assistant | 644 Eden Park Dr, Cincinnati, OH 45202-6031 | 2009-01-15 |
| 1992286561 | Spine Dme Solutions LLC | Durable Medical Equipment & Medical Supplies | 644 Eden Park Dr, Cincinnati, OH 45202-6031 | 2018-08-22 |
| 1972093946 | Total Spine Care, LLC | Clinic/Center | 644 Eden Park Dr, Cincinnati, OH 45202-6031 | 2018-05-15 |
| 1831601798 | Amanda A Duffy | Nurse Practitioner | 644 Eden Park Dr, Cincinnati, OH 45202-6031 | 2017-11-01 |
| 1467844076 | Laser Spine Institute, LLC | Clinic/Center | 644 Eden Park Dr, Cincinnati, OH 45202 | 2015-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811558067 | Courtney Stepp | Social Worker | 907 Vine St, Cincinnati, OH 45202 | 2019-06-27 |
| 1447726427 | Mark Kirby | Optometrist | 2045 Gilbert Avenue, Cincinnati, OH 45202 | 2018-10-17 |
| 1497233100 | Michael Mcmanus | Specialist/Technologist, Other | 8118 Corporate Way Suite 212, Evokes LLC, Cincinnati, OH 45202 | 2018-08-03 |
| 1891293924 | Samuel Thomas Tedtman | Specialist/Technologist | Great American Ball Park, 100 Joe Nuxhall Way, Cincinnati, OH 45202 | 2018-01-23 |
| 1013431006 | Shannon Kiniyalocts | Social Worker | 2208 Reading Road, Cincinnati, OH 45202 | 2017-08-01 |
| 1760937353 | Joyce Ann Thieman | Social Worker | 504 Hiberty Hill, Cincinnati, OH 45202 | 2016-08-24 |
| 1659825156 | Alicia Carver | Counselor | 911 Sycamore St # 400, Cincinnati, OH 45202 | 2016-08-12 |
| 1861836546 | Jeffrey Herbert Finke | Pharmacist | 945 Parkside Place, Apt 5, Cincinnati, OH 45202 | 2013-04-24 |
| 1942597141 | Kristin Erin Pletcher | Physician Assistant | 644 Eden Park Drive, Cincinnati, OH 45202 | 2011-07-08 |
| 1144514654 | James A Kirby IIi | Pharmacist | 555 Race St, Cincinnati, OH 45202 | 2011-06-01 |
| Find all providers in zip 45202 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851904445 | The Good Samaritan Hospital of Cincinnati, Ohio | Clinic/Center | 538 Oak St Ste 100, Cincinnati, OH 45219-2554 | 2020-08-25 |
| 1194341768 | Wellington Specialty Surgery Center, LLC | Clinic/Center | 4355 Ferguson Dr Ste 190, Cincinnati, OH 45245-5137 | 2020-06-19 |
| 1013565175 | David B Schwartz Md, LLC | Clinic/Center | 2123 Auburn Ave Ste 320, Cincinnati, OH 45219-2906 | 2019-08-30 |
| 1285117564 | Mercy Kenwood Ambulatory Surgery Center LLC | Clinic/Center | 8250 Kenwood Crossing Way Ste 102, Cincinnati, OH 45236-3669 | 2018-09-12 |
| 1225558497 | Trihealth Hospital, Inc. | Clinic/Center | 7810 5 Mile Rd Ste B, Cincinnati, OH 45230-2356 | 2017-06-20 |
| 1396192241 | Anderson Endoscopy Center LLC | Clinic/Center | 7661 Beechmont Ave, Suite 100, Cincinnati, OH 45255-4216 | 2016-05-20 |
| 1174852461 | Mayfield Spine Surgery Center LLC | Clinic/Center | 4020 Smith Rd, Cincinnati, OH 45209-1936 | 2009-12-15 |
| 1053508077 | Journey Lite of Cincinnati, LLC | Clinic/Center | 10475 Reading Road, Suite 115, Cincinnati, OH 45241 | 2007-10-03 |
| 1578603007 | David M. Schneider, Md Inc. | Clinic/Center | 119 W Kemper Rd, Cincinnati, OH 45246-2511 | 2007-02-07 |
| 1255345229 | Beacon Orthopaedics Surgery Center, LLC | Clinic/Center | 501 E-business Way, Cincinnati, OH 45241 | 2006-07-27 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45202 |
Please comment or provide details below to improve the information on LASER SPINE SURGERY CENTER OF CINCINNATI.
| 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.