Neurospine Surgical Consultants

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA10040 Issued in TX

Legal business name

NEUROSPINE SURGICAL CONSULTANTS

Practice address

6160 Windhaven Pkwy
Suite 200
Plano, TX 75093-8099

Phone

(972) 378-6908

NPI assigned

Feb 3, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Heather Blizzard, PA-C

Title

Physician Assistant

Phone

(972) 378-6908

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luis A Mignucci, MD

  • Neurological Surgery Physician
  • Plano, TX
  • NPI 1407801970
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1033577291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 WINDHAVEN PKWY",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938099",
            "telephone_number": "972-378-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 WINDHAVEN PKWY",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938099",
            "telephone_number": "972-378-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSPINE SURGICAL CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "BLIZZARD",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "972-378-6908",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA10040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neuron Shield Partners 3, LP
• Neuron Shield Partners, LP
• Neuron Shield Partners, LP
• Neurosense Solutions, PLLC
• Neuroshield LLC
• Neurosurgical Associates, L.L.P.
• Neurotex Iom Reads, LLC
• Neurotherapy Center of Plano, Inc
• Neurovital, PLLC
• Felicia Rene' Nevarez, LCSW

• Surgical Physician Assistant in Plano, TX
• Providers in Plano, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.