Organization Active NPI

Tarpon Spine Center, Inc

  • Chiropractor
  • Tarpon Springs, FL
National Provider Identifier
1164447173
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7441 Issued in FL
Legal business name
TARPON SPINE CENTER, INC
Practice address
1244 S Pinellas Ave
Tarpon Springs, FL 34689-3720
Phone
(727) 937-2086
Fax
(727) 939-2554
NPI assigned
Jul 12, 2006
Last updated
Sep 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Authorized official

Name
Mike R Marcell, DC
Title
Owner
Phone
(727) 937-2086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7441 FL Primary

Addresses

Primary practice location

1244 S Pinellas Ave
Tarpon Springs, FL 34689-3720

Mailing address

1244 S Pinellas Ave
Tarpon Springs, FL 34689-3720
Phone (727) 937-2086

Other identifiers 1

IdentifierTypeStateIssuer
381282100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040915000270 FL Part B Supplier - Clinic/Group Practice 1153398557 Receives reassigned benefits from 3 practitioners
Practice locations: Tarpon Springs, FL

National Provider Directory

National Provider Directory

Locations

1200 S Pinellas Ave
Ste 9
Tarpon Springs, FL 34689
Phone (727) 934-5604

1244 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 858-2603

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1164447173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 S PINELLAS AVE",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346893720",
            "telephone_number": "727-937-2086",
            "fax_number": "727-939-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 S PINELLAS AVE",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346893720",
            "telephone_number": "727-937-2086",
            "fax_number": "727-939-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARPON SPINE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "MARCELL",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-937-2086",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381282100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarpon Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.