INSTITUTE FOR SPINE INC (NPI# 1720389380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720389380 |
| Entity Type | Organization |
| Organization Name | INSTITUTE FOR SPINE INC |
| Practice Address |
36060 Euclid Ave Ste# 101 Willoughby OH 44094-4656 |
| Practice Telephone | 4402694990 |
| Practice Fax Number | 4402694991 |
| Mailing Telephone | 4402694990 |
| Mailing Fax Number | 4402694991 |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2010-11-12 |
| Authorized Official Name | MACHELLE GIORDON (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 3307232111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
35056000 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2881672 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396173365 | Institute for Spine Inc | Orthopaedic Surgery | 5 Severance Cir, Suite #609, Cleveland Heights, OH 44118-1566 | 2013-10-29 |
| 1346531134 | Institute for Spine Inc | Orthopaedic Surgery | 5 Severance Cir, Cleveland Heights, OH 44118-1566 | 2011-04-27 |
| 1316248974 | Institute for Spine Inc | Orthopaedic Surgery | 6550 N Ridge Rd, Ste# 201, Madison, OH 44057-3462 | 2010-11-12 |
| 1336181163 | Institute for Spine Inc | Orthopaedic Surgery | 7551 Fredle Dr, Concord Twp, OH 44077-9406 | 2006-06-13 |
| Street Address |
36060 EUCLID AVE STE# 101 |
| City | WILLOUGHBY |
| State | OH |
| Zip Code | 44094-4656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649252743 | Jaye E Benjamin | Dermatology | 36060 Euclid Ave, Suite 202, Willoughby, OH 44094-4656 | 2005-11-16 |
| 1700350923 | Amelia Ann Wilmot | Physician Assistant | 36060 Euclid Ave, Willoughby, OH 44094-4656 | 2019-01-22 |
| 1629575329 | Diana Lee Mackensen | Nurse Practitioner | 36060 Euclid Ave, Willoughby, OH 44094-4656 | 2018-04-09 |
| 1528494531 | Sherry Nicole Palmer | Nurse Practitioner | 36060 Euclid Ave, Suite 204, Willoughby, OH 44094-4656 | 2013-09-23 |
| 1518224906 | Matthew M Keum, M.d., Inc | Pain Medicine | 36060 Euclid Ave, Suite 101, Willoughby, OH 44094-4656 | 2012-04-23 |
| 1932434289 | Outreach Professional Services, Inc. | Surgery | 36060 Euclid Ave, Suite 107, Willoughby, OH 44094-4656 | 2009-10-05 |
| 1508028135 | Helge Ulrich Simon M.d | Internal Medicine | 36060 Euclid Ave, 107, Willoughby, OH 44094-4656 | 2008-06-25 |
| 1003090689 | Lake Hospital System, Inc. | Orthopaedic Surgery | 36060 Euclid Ave, Suite 203, Willoughby, OH 44094-4656 | 2007-12-19 |
| 1144336470 | William J Petraiuolo | Surgery | 36060 Euclid Ave, Suite 204, Willoughby, OH 44094 | 2006-08-21 |
| 1194747451 | Steven P Combs | Orthopaedic Surgery | 36060 Euclid Ave, Suite 104, Willoughby, OH 44094-4656 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574367 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 36596 Euclid Ave, Willoughby, OH 44094 | 2020-09-25 |
| 1679111322 | Megan King | Nurse Practitioner | 4078 Erie Street, Unit B, Willoughby, OH 44094 | 2019-12-12 |
| 1124661525 | Mind and Body Infusion Therapies, LLC | Clinic/Center | 9264 Chillicothe Rd., Unit #2, Kirtland, OH 44094 | 2019-10-18 |
| 1679125637 | Christina Maria Chandler | Family Medicine | 39021 Signature Circle, Willoughby, OH 44094 | 2019-07-10 |
| 1467920595 | Rachel Curry | Specialist/Technologist | 53400 Euclid Ave., Apt. E-102, Willoughby, OH 44094 | 2018-11-07 |
| 1437649753 | Katie Lauren Greenaway | Registered Nurse | 5103 Robinhood Dr, Willoughby, OH 44094 | 2018-05-11 |
| 1003346131 | Heather Marie Hayes | Licensed Practical Nurse | 38882 Mentor Ave., Willoughby, OH 44094 | 2017-06-12 |
| 1609305028 | Ann Marie Mason | Counselor | 38882 Mentor Avenue, Willoughby, OH 44094 | 2017-06-08 |
| 1285173005 | Mattie Diann Towns-scott | Social Worker | 34950 Chardon Road, Bldg 2, Suite 210, Willoughby Hills, OH 44094 | 2017-02-13 |
| 1447797329 | Therese Benz | General Acute Care Hospital | 96000 Euclid Ave., Willoughby, OH 44094 | 2017-01-30 |
| Find all providers in zip 44094 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053874651 | Soh Care of Oh, LLC | Orthopaedic Surgery | 175 S 3rd St Ste 140-302, Columbus, OH 43215-5134 | 2019-04-10 |
| 1588162861 | Select Health of Oh, LLC | Orthopaedic Surgery | 175 S 3rd St Ste 200-185, Columbus, OH 43215-5134 | 2018-01-31 |
| 1679071955 | Joint Replacement Cin of Columbus LLC | Orthopaedic Surgery | 175 S 3rd St Ste 200-193, Columbus, OH 43215-5134 | 2018-01-31 |
| 1942708227 | Spine Cin of Cincinnati LLC | Orthopaedic Surgery | 9435 Waterstone Blvd Ste 140-300, Cincinnati, OH 45249-8226 | 2018-01-31 |
| 1306344684 | Joint Replacement Cin of Cincinnati LLC | Orthopaedic Surgery | 9435 Waterstone Blvd Ste 140-301, Cincinnati, OH 45249-8226 | 2018-01-31 |
| 1952750226 | Michael D Eppig Md | Orthopaedic Surgery | 6550 N Ridge Rd Ste 201, Madison, OH 44057-3458 | 2016-06-08 |
| 1295710465 | Jeffrey S Tharp | Orthopaedic Surgery | 1320 Corporate Dr, Ste 100, Hudson, OH 44236-4442 | 2005-12-10 |
| 1255315685 | Daryl R Sybert | Orthopaedic Surgery | 5040 Forest Drive, Suite 300, New Albany, OH 43054 | 2005-11-30 |
| 1992795850 | Jaideep Chunduri | Orthopaedic Surgery | 6480 Harrison Avenue, Suite 201, Cincinnati, OH 45247 | 2005-10-24 |
| 1871599357 | David Propst | Orthopaedic Surgery | 2400 Miami Valley Dr, Ste 160, Centerville, OH 45459-4774 | 2005-06-21 |
| Find all providers with the same taxonomy | ||||
| City | WILLOUGHBY |
| Zip Code | 44094 |
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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.