Spinal Atrs Institute, PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

SPINAL ATRS INSTITUTE, PLLC

Practice address

11412 Georgetown Pike
Great Falls, VA 22066-1316

Phone

(877) 647-4638

Fax

(866) 611-9908

NPI assigned

Oct 22, 2009

Organization subpart

No

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

Authorized official

Name

Zain Haider

Title

Director

Phone

(315) 798-8737

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1114253366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025809",
            "telephone_number": "315-798-8737",
            "fax_number": "315-797-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11412 GEORGETOWN PIKE",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220661316",
            "telephone_number": "877-647-4638",
            "fax_number": "866-611-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL ATRS INSTITUTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "HAIDER",
        "authorized_official_first_name": "ZAIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "315-798-8737"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; 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.