NC NEUROSURGERY AND SPINE CLINIC PLLC (NPI# 1811383896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811383896 |
| Entity Type | Organization |
| Organization Name | NC NEUROSURGERY AND SPINE CLINIC PLLC |
| Other Organization Name | JOHN R SPITALIERI |
| Practice Address |
2109 Valleygate Dr Suite 201 Fayetteville NC 28304-3682 |
| Practice Telephone | 9104891140 |
| Mailing Telephone | 9104891140 |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2015-08-24 |
| Authorized Official Name | JOHN R SPITALIERI (PRESIDENT) |
| Authorized Official Telephone | 9104891140 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| John R Spitalieri | Other Name - Individual/Organization |
| Street Address |
2109 VALLEYGATE DR SUITE 201 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-3682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881696037 | Stuart D Shelton | Obstetrics & Gynecology | 2109 Valleygate Dr, Suite 103, Fayetteville, NC 28304-3682 | 2005-06-01 |
| 1306067863 | Cape Center Pediatrics P.a. | Pediatrics | 2109 Valleygate Dr, Suite # 101, Fayetteville, NC 28304-3682 | 2007-05-01 |
| 1972677235 | Cfv Specialty Care Billing Services, LLC | Obstetrics & Gynecology | 2109 Valleygate Dr, Suite 103, Fayetteville, NC 28304-3682 | 2006-11-20 |
| 1053374157 | David Kishbaugh | Physical Medicine & Rehabilitation | 2109 Valleygate Dr, Suite 201, Fayetteville, NC 28304-3571 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700015674 | Timothy B. Scarff | Neurological Surgery | 1055 Wedgewood Dr, Fayetteville, GA 30214-1337 | 2009-07-13 |
| 1427080894 | Brent P Peterson | Neurological Surgery | 3336 N. Futrall Drive, Fayetteville, AR 72703 | 2006-07-07 |
| 1386671790 | Larry A Armstrong | Neurological Surgery | 3336 N Futrall Drive, Fayetteville, AR 72703 | 2006-06-28 |
| 1275573255 | David Luke Knox | Neurological Surgery | 3561 Johnson Mill Blvd, Suite 101, Fayetteville, AR 72704-5026 | 2006-06-07 |
| 1609823780 | Kelly Richard Danks | Neurological Surgery | 1706 E Joyce Blvd, 2, Fayetteville, AR 72703-5238 | 2006-05-27 |
| 1245202274 | James Blair Blankenship | Neurological Surgery | 2793 E Millennium, Suite 1, Fayetteville, AR 72703-6522 | 2006-02-03 |
| 1154322519 | Gerard S Rodziewicz | Neurological Surgery | 4000 Medical Center Dr, Suite 108, Fayetteville, NY 13066-6631 | 2005-08-09 |
| 1720080070 | Cape Fear Neurosurgery | Neurological Surgery | 1319 Walter Reed Rd, Fayetteville, NC 28304-4437 | 2005-06-01 |
| 1851754345 | Washington Regional Medical System | Neurological Surgery | 3561 Johnson Mill Blvd, Suite 101, Fayetteville, AR 72704 | 2016-04-01 |
| 1093088593 | Springfield Neurological Institute, L.L.C. | Neurological Surgery | 3215 N Northhills Blvd, Fayetteville, AR 72703-4424 | 2012-02-14 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
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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.