Rome Neurospinal Center PC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

018065 Issued in GA

Legal business name

ROME NEUROSPINAL CENTER PC

Practice address

20 Riverbend Dr SW
Rome, GA 30161-6066

Phone

(706) 295-0070

Fax

(706) 235-1618

NPI assigned

Jun 24, 2008

Organization subpart

No

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

Authorized official

Name

Sue Gomisch

Title

Office Administrator

Phone

(706) 238-5465

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1174784912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 RIVERBEND DR SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301616066",
            "telephone_number": "706-295-0070",
            "fax_number": "706-235-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 RIVERBEND DR SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301616066",
            "telephone_number": "706-295-0070",
            "fax_number": "706-235-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROME NEUROSPINAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "GOMISCH",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "706-238-5465"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "GA",
            "license": "018065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00082541D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rome Family & Cosmetic Dentistry
• Rome Family Dental, LLC
• Rome Gastroenterology Associates
• Rome Imaging Associates
• Rome Internal Medicine Associates, PC
• Rome Operating Company LLC
• Rome Optical Company Inc
• Rome Orthopaedic Center PC
• Rome Orthopaedic Clinic ASC, Inc.
• Rome Primary Care LLC

• Neurological Surgery Physician in Rome, GA
• Providers in Rome, GA by specialty
• Neurological Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.