Active NPI
Doctors' Comprehensive Spine Center, Inc
- Rehabilitation Chiropractor
- Tampa, FL
National Provider Identifier
1023162906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- CH 5142
- Legal business name
- DOCTORS' COMPREHENSIVE SPINE CENTER, INC
- Practice address
- 1931 W Dr Martin Luther King Jr Blvd
Suite a
Tampa, FL 33607-6529 - Phone
- (813) 873-9229
- Fax
- (813) 873-9228
- NPI assigned
- Jan 22, 2007
- Last updated
- Jan 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kim Rusnak
- Title
- Administrator
- Phone
- (813) 873-9229
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | CH 5142 | FL | Primary |
Addresses
Primary practice location
1931 W Dr Martin Luther King Jr Blvd
Suite a
Tampa, FL 33607-6529
Mailing address
1931 W Dr Martin Luther King Jr Blvd
Suite a
Tampa, FL 33607-6529
Phone (813) 873-9229
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09529 | Other | FL | BLUE CROSS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1639151418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200614400000",
"number": "1023162906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1931 W DR MARTIN LUTHER KING JR BLVD",
"address_2": "SUITE A",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076529",
"telephone_number": "813-873-9229",
"fax_number": "813-873-9228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1931 W DR MARTIN LUTHER KING JR BLVD",
"address_2": "SUITE A",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076529",
"telephone_number": "813-873-9229",
"fax_number": "813-873-9228"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOCTORS' COMPREHENSIVE SPINE CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-22",
"last_updated": "2008-01-18",
"status": "A",
"authorized_official_last_name": "RUSNAK",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "813-873-9229",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "FL",
"license": "CH 5142",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "09529",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.