NEUSPINE ANCILLARY LLC (NPI# 1992347553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992347553 |
| Entity Type | Organization |
| Organization Name | NEUSPINE ANCILLARY LLC |
| Practice Address |
12880 Us 301 Dade City FL 33525-5801 |
| Practice Telephone | 8133331186 |
| Mailing Telephone | 8133331186 |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2019-10-15 |
| Authorized Official Name | BRIAN CLUKIE (BILLING MANAGER) |
| Authorized Official Telephone | 8133882935 |
| Is Organization Subpart | Y |
| Parent Organization Name | NEUSPINE ANCILLARY LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376172478 | Neuspine Ancillary LLC | Neurological Surgery | 510 Vonderburg Dr Ste 213, Brandon, FL 33511-5981 | 2020-04-02 |
| 1659913218 | Neuspine Ancillary LLC | Pain Medicine | 2445 Country Place Blvd Ste 102, Trinity, FL 34655-1102 | 2019-10-15 |
| 1194244798 | Neuspine Ancillary LLC | Neurological Surgery | 2700 Healing Way Ste 300, Wesley Chapel, FL 33543-5453 | 2017-09-14 |
| Street Address |
12880 US 301 |
| City | DADE CITY |
| State | FL |
| Zip Code | 33525-5801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801394440 | Neuspine Therapy LLC | Pain Medicine | 12880 Us 301, Dade City, FL 33525-5801 | 2018-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548735772 | Medical Risk Solutions | Family Medicine | 38503 Centennial Road, Dade City, FL 33525 | 2018-10-03 |
| 1629593280 | Kiria Cuevas | Pharmacist | 11830 Us-301, Dade City, FL 33525 | 2017-08-04 |
| 1477005452 | Nancy T Mathew | Nurse Practitioner | 9834 Pine Leaf Lane, Dade City, FL 33525 | 2016-10-26 |
| 1720470933 | Jackalynne Burns | Behavioral Analyst | 11820 Munbury Dr, Dade City, FL 33525 | 2015-02-25 |
| 1497146781 | Bridgett Crews | Case Manager/Care Coordinator | 9315 Handcart Rd., Dade City, FL 33525 | 2015-02-09 |
| 1437457389 | Shannon Clarke Korst | Massage Therapist | 11045 Old Lakeland Hwy, Dade City, FL 33525 | 2011-03-02 |
| 1689907420 | Gladys Borges | Nutritionist | 13941 15th Street, Pchd Wic & Nutrition Services, Dade City, FL 33525 | 2009-09-11 |
| 1730412628 | Veekas Patel | Pharmacist | 12715 Hwy 301, Dade City, FL 33525 | 2009-09-10 |
| 1376765347 | Linda F Elmore | Technician, Other | 12649 Us Hwy 301, Dade City, FL 33525 | 2007-05-02 |
| 1417086190 | Marta M Velasquez | Pharmacist | 12649 Hwy 301, Dade City, FL 33525 | 2007-03-05 |
| Find all providers in zip 33525 | ||||
| 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 |
|---|---|---|---|---|
| 1063032514 | Jose Valerio Md Pllc | Neurological Surgery | 2741 Executive Park Dr Ste 2, Weston, FL 33331-3641 | 2020-04-24 |
| 1376172478 | Neuspine Ancillary LLC | Neurological Surgery | 510 Vonderburg Dr Ste 213, Brandon, FL 33511-5981 | 2020-04-02 |
| 1013542364 | Michelle Carnes | Neurological Surgery | 2575 Northbrooke Plaza Dr Unit 100, Naples, FL 34119-8105 | 2020-03-06 |
| 1962049163 | East Coast Neuro Spine Clinic, LLC | Neurological Surgery | 1601 S Apollo Blvd Ste C, Melbourne, FL 32901-4484 | 2019-12-06 |
| 1659913796 | Orlando Neurosurgical Solutions LLC | Neurological Surgery | 2706 Rew Cir # 205, Ocoee, FL 34761-4215 | 2019-10-10 |
| 1760047831 | North Broward Neurospinal Surgery Inc | Neurological Surgery | 1 W Sample Rd Ste 209, Pompano Beach, FL 33064-3547 | 2019-05-04 |
| 1932672912 | Volusia Neurosurgical Associates | Neurological Surgery | 311 N Clyde Morris Blvd Ste 440, Daytona Beach, FL 32114-2757 | 2019-01-02 |
| 1861961344 | Expert Neurosurgical Services LLC | Neurological Surgery | 600 Heritage Dr Ste 105, Jupiter, FL 33458-3098 | 2018-11-14 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1114492493 | Lloyd Maliner, Md Pa | Neurological Surgery | 301 Nw 84th Ave Ste 206, Plantation, FL 33324-1807 | 2018-10-12 |
| Find all providers with the same taxonomy | ||||
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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.