Spine & Extremities Center, PC

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

Legal business name

SPINE & EXTREMITIES CENTER, PC

Practice address

457 S 5TH Ave
Clarion, PA 16214-6011

Phone

(814) 227-5855

NPI assigned

Feb 5, 2022

Organization subpart

No

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

Authorized official

Name

Maureen W Mills

Title

Credentialing Specialist

Phone

(814) 577-9385

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1644019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644019200000",
    "number": "1154075562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "OSCEOLA MILLS",
            "state": "PA",
            "postal_code": "166660068",
            "telephone_number": "814-577-9385",
            "fax_number": "814-339-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 S 5TH AVE",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162146011",
            "telephone_number": "814-227-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE & EXTREMITIES CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-05",
        "last_updated": "2022-02-05",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "814-577-9385"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Smith, DO
• Owen M Smith III, BS,BA,MS
• Kathleen Snyder
• Elise Anne Somers, PA-C
• Yifang Song
• Carol Ann Stenger, MSW LCSW BCD
• Wendy B Stivanson, CRNA
• Jennifer Christine Stoepfel, CRNP
• Kyle Andrew Straub, LSW
• Kaylin Ann Strauser-Curtis, DO

• Neuromusculoskeletal Medicine & OMM Physician in Clarion, PA
• Providers in Clarion, PA by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.