Organization Active NPI

Zella Spine, PLLC

  • Electroneurodiagnostic Specialist/Technologist
  • Longview, TX
National Provider Identifier
1104333251
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
ZELLA SPINE, PLLC
Practice address
1504 Colony Cir
Longview, TX 75604-4454
Phone
(484) 351-8459
Fax
(484) 351-8810
NPI assigned
Jan 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Authorized official

Name
Ross Skolnick
Title
Attorney
Phone
(484) 351-8459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZE0600X Primary

Addresses

Primary practice location

1504 Colony Cir
Longview, TX 75604-4454

Mailing address

1504 Colony Cir
Longview, TX 75604-4454
Phone (484) 351-8459

National Provider Directory

National Provider Directory

Locations

1504 Colony Cir
Longview, TX 75604

NPI Registry JSON

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1104333251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 COLONY CIR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756044454",
            "telephone_number": "484-351-8459",
            "fax_number": "484-351-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 COLONY CIR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756044454",
            "telephone_number": "484-351-8459",
            "fax_number": "484-351-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZELLA SPINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "SKOLNICK",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "ATTORNEY",
        "authorized_official_telephone_number": "484-351-8459"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; 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.