Organization Active NPI

International Center for Advanced Spine and Orthopedic Surgery LLC

  • Orthopaedic Surgery Physician
  • Bradenton, FL
National Provider Identifier
1194049445
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME96223 Issued in FL
Legal business name
INTERNATIONAL CENTER FOR ADVANCED SPINE AND ORTHOPEDIC SURGERY LLC
Practice address
712 53Rd Ave E
Bradenton, FL 34203-5827
Phone
(941) 753-1756
Fax
(941) 227-4243
NPI assigned
Mar 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

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

Authorized official

Name
Dr. Sajeev K Nair, MD
Title
President
Phone
(941) 753-1756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X ME96223 FL Primary

Addresses

Primary practice location

712 53Rd Ave E
Bradenton, FL 34203-5827

Mailing address

1945 Versailles St
Suite 103
Sarasota, FL 34239-6900
Phone (941) 753-1756

National Provider Directory

National Provider Directory
Tax ID family
International Center for Advanced Spine and Orthopedic Surgery LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1945 Versailles St
Ste 103
Sarasota, FL 34239
Phone (941) 753-1756

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268697600000",
    "number": "1194049445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 VERSAILLES ST",
            "address_2": "SUITE 103",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342396900",
            "telephone_number": "941-753-1756",
            "fax_number": "941-227-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 53RD AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342035827",
            "telephone_number": "941-753-1756",
            "fax_number": "941-227-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL CENTER FOR ADVANCED SPINE AND ORTHOPEDIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-16",
        "last_updated": "2010-03-16",
        "status": "A",
        "authorized_official_last_name": "NAIR",
        "authorized_official_first_name": "SAJEEV",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-753-1756",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME96223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; 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.