Orthopedic & Spine Surgery Assoc

Key facts

NPI: 1083779151
Entity type: Organization (NPI type 2)
Primary specialty: Prosthetic/Orthotic Supplier 335E00000X
Legal business name: ORTHOPEDIC & SPINE SURGERY ASSOC
Practice address: 2971 W Algonquin Rd
Suite 101a
Algonquin, IL 60102-9406
Phone: (847) 854-8590
Fax: (847) 854-8593
NPI assigned: Dec 27, 2006
Organization subpart: No

Authorized official

Name: Ms. Barbara Rouse
Title: Administrator
Phone: (847) 931-5300

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Prosthetic/Orthotic Supplier	335E00000X			Yes

Addresses

Primary practice location

2971 W Algonquin Rd
Suite 101a
Algonquin, IL 60102-9406

Mailing address

2350 Royal Blvd
Suite 200
Elgin, IL 60123-4719
Phone (847) 931-5300

Other names

Midwest Bone & Joint Institute Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 17, 2015.

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1083779151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 ROYAL BLVD",
            "address_2": "SUITE 200",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234719",
            "telephone_number": "847-931-5300",
            "fax_number": "847-931-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2971 W ALGONQUIN RD",
            "address_2": "SUITE 101A",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601029406",
            "telephone_number": "847-854-8590",
            "fax_number": "847-854-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC & SPINE SURGERY ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "ROUSE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-931-5300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Bone & Joint Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Algonquin, IL

All providers in Algonquin, IL · Prosthetic/Orthotic Supplier in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2015. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.