Organization Active NPI

Emergency Spine, PC

  • Orthopaedic Surgery of the Spine Physician
  • Phoenix, AZ
National Provider Identifier
1144748468
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
EMERGENCY SPINE, PC
Practice address
3101 E Shea Blvd Ste 114
Phoenix, AZ 85028-3209
Phone
(602) 377-2616
Fax
(480) 656-1554
NPI assigned
Sep 7, 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
Cindy Kammrath
Title
Office Manager
Phone
(602) 377-2616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X Primary

Addresses

Primary practice location

3101 E Shea Blvd Ste 114
Phoenix, AZ 85028-3209

Mailing address

3101 E Shea Blvd Ste 114
Phoenix, AZ 85028-3209
Phone (602) 377-2616

National Provider Directory

National Provider Directory

Locations

3101 E Shea Blvd
Ste 114
Phoenix, AZ 85028
Phone (602) 377-2616

NPI Registry JSON

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1144748468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 E SHEA BLVD STE 114",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283209",
            "telephone_number": "602-377-2616",
            "fax_number": "480-656-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 E SHEA BLVD STE 114",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283209",
            "telephone_number": "602-377-2616",
            "fax_number": "480-656-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY SPINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KAMMRATH",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "602-377-2616"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

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.