SPINE AND WELLNESS INSTITUTE, PLLC (NPI# 1568979961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568979961 |
| Entity Type | Organization |
| Organization Name | SPINE AND WELLNESS INSTITUTE, PLLC |
| Practice Address |
6300 W Parker Rd Ste G25 Plano TX 75093-8105 |
| Mailing Address |
5550 Warren Pkwy Ste 110 Frisco TX 75034-7399 |
| Practice Telephone | 4692524777 |
| Practice Fax Number | 4695182156 |
| Mailing Telephone | 4692524777 |
| Mailing Fax Number | 4695182156 |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-04-02 |
| Authorized Official Name | DR. JONATHAN KONING (OWNER) |
| Authorized Official Telephone | 9513174301 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP3300X |
Clinic/Center Specialization: Pain |
Q0953 | TX | Ambulatory Health Care Facilities |
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Q0953 | TX | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5550 Warren Pkwy Ste 110, Frisco, TX 750347399 | 4692524777 | 4695182156 |
| 6130 W Parker Rd, Plano, TX 750937901 | 9722380512 | 4695182156 |
| Street Address |
6300 W PARKER RD STE G25 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-8105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881080794 | Norin Ukani | Nurse Practitioner | 6300 W Parker Rd Ste G25, Plano, TX 75093-8105 | 2015-04-08 |
| 1881182608 | Andrea K Ohmann | Chiropractor | 6300 W Parker Rd Ste G25, Plano, TX 75093-8105 | 2018-04-26 |
| 1558878975 | Sp Anesthesia Consultants Pllc | Anesthesiology | 6300 W Parker Rd Ste G25, Plano, TX 75093-8105 | 2018-01-08 |
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|---|---|---|---|---|
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| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
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| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1881252450 | Healthworks Med Group of Texas Darlington P A | Clinic/Center | 6835 Communications Pkwy Ste 510, Plano, TX 75024-6033 | 2019-05-30 |
| 1457849747 | Advanced Surgical Arts, Pa | Clinic/Center | 5508 W Plano Pkwy Ste 200, Plano, TX 75093-4858 | 2018-04-23 |
| 1346749942 | Diverse Medical Management, Inc. | Clinic/Center | 5021 Trail Lake Dr, Plano, TX 75093-7530 | 2018-02-08 |
| 1407354780 | Care 360 Pllc | Clinic/Center | 1360 Star Ct. T3, Suite 313, Plano, TX 75074-7353 | 2018-01-31 |
| 1033623988 | Healthworks Med Group of Texas Darlington P A | Clinic/Center | 7900 Windrose Ave, Plano, TX 75024-9998 | 2017-11-29 |
| 1417304171 | Collin County Asc, Lp | Clinic/Center | 5085 W Park Blvd, Suite 180b, Plano, TX 75093-2593 | 2016-05-23 |
| 1609932557 | Robert D. Wilcox Md Pa | Clinic/Center | 5316 West Plano Parkway, Plano, TX 75093-4821 | 2006-12-28 |
| 1912504796 | Joint Regeneration & Arthritis Relief Institute of Dfw Pllc | Clinic/Center | 5072 W Plano Pkwy Ste 220, Plano, TX 75093-4475 | 2020-10-05 |
| 1538711361 | Dallas-fort Worth Spine Institute, LLC | Clinic/Center | 6130 W Parker Rd Ste 502, Plano, TX 75093-7993 | 2019-07-11 |
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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.