TOTAL SPINE CARE, LLC (NPI# 1972093946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972093946 |
Entity Type | Organization |
Organization Name | TOTAL SPINE CARE, LLC |
Other Organization Name | LASER SPINE INSTITUTE, LLC |
Practice Address |
644 Eden Park Dr Cincinnati OH 45202-6031 |
Mailing Address |
5332 Avion Park Dr Tampa FL 33607-1412 |
Practice Telephone | 8132899613 |
Practice Fax Number | 4842531790 |
Mailing Telephone | 8132899613 |
Mailing Fax Number | 4842531790 |
Enumeration Date | 2018-05-15 |
Last Update Date | 2018-05-15 |
Authorized Official Name | CHARLES EDWARD BLAND (LIC/CRED MANAGER) |
Authorized Official Telephone | 8133927604 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
201812204520 | OH | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Laser Spine Institute, LLC | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
300 Allen Bradley Dr, Mayfield Heights, OH 441246131 | 8132899613 | 4842531790 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134645435 | Total Spine Care, LLC | Physical Medicine & Rehabilitation | 5332 Avion Park Dr, Tampa, FL 33607 | 2017-08-17 |
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 |
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 |
1518373810 | Laser Spine Surgery Center of Cincinnati | Clinic/Center | 644 Eden Park Dr, Cincinnati, OH 45202-6031 | 2014-07-08 |
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 | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295220424 | Shanteya Cunningham | Clinic/Center | 3481 Robb Ave, Cincinnati, OH 45211-5340 | 2018-06-29 |
1023197118 | Occupational Health Centers of Ohio, P.a., Co. | Clinic/Center | 2884 E Kemper Rd, Cincinnati, OH 45241-1820 | 2006-11-02 |
1003457540 | Integrative Nutrition & Healing LLC | Clinic/Center | 3536 Edwards Rd Ste 210, Cincinnati, OH 45208 | 2019-10-07 |
1770839888 | Trihealth | Clinic/Center | 4750 Wesley Ave, Cincinnati, OH 45212-2244 | 2012-07-26 |
1548598162 | Winton Hills Medical & Health Center | Clinic/Center | 1019 Linn St, Cincinnati, OH 45203-1314 | 2009-11-19 |
1386765626 | Health Resource Center of Cincinnati, Inc. | Clinic/Center | 2347 Vine St, Cincinnati, OH 45219-1745 | 2007-04-03 |
1568541647 | Occupational Health Centers of Ohio, P.a., Co. | Clinic/Center | 4623 Wesley Ave, Suite C, Cincinnati, OH 45212-2246 | 2006-11-02 |
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1194292912 | Occupational Health Centers of Ohio, Pa Co | Clinic/Center | 7010 Spring Meadows Dr W Ste 101, Holland, OH 43528-8137 | 2018-10-30 |
Find all providers with the same taxonomy |
City | CINCINNATI |
Zip Code | 45202 |
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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.