CENTER FOR SPINE INTERVENTIONS ASC 2 (NPI# 1700389822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700389822 |
| Entity Type | Organization |
| Organization Name | CENTER FOR SPINE INTERVENTIONS ASC 2 |
| Practice Address |
2713 Charles Hardy Parkway Ste. 224 Dallas GA 30157-9470 |
| Mailing Address |
2713 Charles Hardy Parkway Ste. 212/222 Dallas GA 30157-9470 |
| Practice Telephone | 6788132741 |
| Practice Fax Number | 7705753912 |
| Mailing Telephone | 6788132741 |
| Mailing Fax Number | 7705753912 |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2019-08-07 |
| Authorized Official Name | JANICE RAYA (OFFICE MANAGER) |
| Authorized Official Telephone | 6788132741 |
| 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 |
2713 CHARLES HARDY PARKWAY STE. 224 |
| City | DALLAS |
| State | GA |
| Zip Code | 30157-9470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608629 | Harshadbhai Vinubhai Patel | Pharmacist | 3615 Marietta Highway, Dallas, GA 30157 | 2020-10-30 |
| 1043852627 | Lindsay Sheets | Dentist | 59 Hillside Trce Ste 105, Dallas, GA 30157 | 2019-10-15 |
| 1619459062 | Emily Nicole Koopman | Specialist/Technologist | 399 Powder Creek Way, Dallas, GA 30157 | 2018-09-02 |
| 1073969861 | Rachel Spencer | Physical Therapist | 99 Hillside Trace, Dallas, GA 30157 | 2016-05-11 |
| 1336514827 | Petal Shields | Community Health Worker | 121 Omega Ct, Dallas, GA 30157 | 2015-12-09 |
| 1851797294 | Annette Moncion | Nurse Practitioner | 32 Midland Lane, Dallas, GA 30157 | 2014-11-12 |
| 1003211079 | Melissa Brice | Lactation Consultant, Non-RN | 430 Parson Rd, Dallas, GA 30157 | 2014-11-03 |
| 1104101690 | Jared Alan Lott | Pharmacist | 303 Charlie Watts Blvd, Dallas, GA 30157 | 2011-10-15 |
| 1972888758 | Lisa Nicole Mcentire | Massage Therapist | 119 Fairview Oak Trace, Dallas, GA 30157 | 2011-10-12 |
| 1548570120 | Chad Stough | Physician Assistant | 2713 Marietta Highway, Suite 122, Dallas, GA 30157 | 2010-10-15 |
| Find all providers in zip 30157 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083262091 | Mtv Ir Lab, LLC | Clinic/Center | 9101 N Central Expy Ste 520, Dallas, TX 75231-5955 | 2019-09-03 |
| 1245798826 | Surgcenter of Greater Dallas, LLC. | Clinic/Center | 11411 E Northwest Hwy Ste 220, Dallas, TX 75218-1437 | 2019-03-04 |
| 1437664406 | Montfort Surgical Center Pllc | Clinic/Center | 5520 Lbj Fwy Ste 150, Dallas, TX 75240-2313 | 2017-12-12 |
| 1588993034 | North Texas Surgery Center LLC | Clinic/Center | 2430 Victory Park Ln Apt 2401, Dallas, TX 75219-7607 | 2009-12-11 |
| 1356579924 | Metro Surgical Associates | Clinic/Center | 5920 Forest Park Rd Ste 700, Dallas, TX 75235-6414 | 2009-06-23 |
| 1558517672 | Paragon Ambulatory Health Resources, LLC | Clinic/Center | 5600 W Lovers Ln # 116-349, Dallas, TX 75209-4330 | 2008-08-08 |
| 1043491244 | Sierra Surgery Center | Clinic/Center | 5468 La Sierra Dr Ste 100, Dallas, TX 75231-4170 | 2007-11-16 |
| 1235257130 | Swiss Avenue Surgicenter Management LLC | Clinic/Center | 4103 Swiss Ave Ste B, Dallas, TX 75204-8102 | 2007-03-27 |
| 1265596787 | Dallas Day Surgery Center | Clinic/Center | 411 No Washington, Suite 5400, Dallas, TX 75246-1776 | 2006-12-20 |
| 1003978115 | Surgery Center of Garland, LLC | Clinic/Center | 12610 E Northwest Highway, Dallas, TX 75228-8010 | 2006-12-14 |
| Find all providers in DALLAS | ||||
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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.