Active NPI
Spine Management Group, LLC
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- New Orleans, LA
National Provider Identifier
1093236283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 201144
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306036942 | Other | LA | PM&R AND INTERVENTIONAL SPINE AND PAIN MEDICINE |
National Provider Directory
National Provider DirectoryLocations
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.