Organization Active NPI

Spine Management Group, LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • New Orleans, LA
National Provider Identifier
1093236283
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
201144 Issued in LA
Legal business name
SPINE MANAGEMENT GROUP, LLC
Practice address
4600 S Claiborne Ave Ste 100
New Orleans, LA 70125-5010
Phone
(504) 899-2225
Fax
(504) 899-2280
NPI assigned
Jun 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Rose Klein
Title
Office Manager
Phone
(504) 394-0001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X 201144 LA Primary

Addresses

Primary practice location

4600 S Claiborne Ave Ste 100
New Orleans, LA 70125-5010

Mailing address

4600 S Claiborne Ave Ste 100
New Orleans, LA 70125-5010
Phone (504) 899-2225

Other identifiers 1

IdentifierTypeStateIssuer
1306036942OtherLAPM&R AND INTERVENTIONAL SPINE AND PAIN MEDICINE

National Provider Directory

National Provider Directory

Locations

4600 S Claiborne Ave
Ste 100
New Orleans, LA 70125
Phone (504) 899-2225

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1093236283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 S CLAIBORNE AVE STE 100",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701255010",
            "telephone_number": "504-899-2225",
            "fax_number": "504-899-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 S CLAIBORNE AVE STE 100",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701255010",
            "telephone_number": "504-899-2225",
            "fax_number": "504-899-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE MANAGEMENT GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "504-394-0001",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "LA",
            "license": "201144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PM&R AND INTERVENTIONAL SPINE AND PAIN MEDICINE",
            "identifier": "1306036942",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.