Organization Active NPI

Mesa Spine Solutions, PLLC

  • Electroneurodiagnostic Specialist/Technologist
  • Longview, TX
National Provider Identifier
1174985642
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
MESA SPINE SOLUTIONS, PLLC
Practice address
1027 Riverwood Dr
Longview, TX 75604-6228
Phone
(972) 591-5935
NPI assigned
Mar 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Authorized official

Name
Steven Semich
Title
President
Phone
(972) 591-5935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZE0600X Primary

Addresses

Primary practice location

1027 Riverwood Dr
Longview, TX 75604-6228

Mailing address

1027 Riverwood Dr
Longview, TX 75604-6228
Phone (972) 591-5935

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1174985642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 RIVERWOOD DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756046228",
            "telephone_number": "972-591-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 RIVERWOOD DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756046228",
            "telephone_number": "972-591-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA SPINE SOLUTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "SEMICH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-591-5935"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.