Edmond Spine and Orthopedics Services LLC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

Legal business name

EDMOND SPINE AND ORTHOPEDICS SERVICES LLC

Practice address

4900 S. Monaco St
#210
Denver, CO 80237-3486

Phone

(303) 584-8000

Fax

(303) 584-8141

NPI assigned

Oct 17, 2005

Organization subpart

No

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

Authorized official

Name

William M Smitham

Title

Executive Director

Phone

(303) 584-8000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• Rick D Beller, MD

  • Orthopaedic Surgery Physician
  • Edmond, OK
  • NPI 1427044015

  Orthopaedic Surgery of the Spine

  NPD (past)
• Henry Rice Handley, PA

  • Physician Assistant
  • Oklahoma City, OK
  • NPI 1609925825
  NPD (past)
• Kristen Walters Hodges, P.A.-C

  • Surgical Physician Assistant
  • Norman, OK
  • NPI 1609046416
  NPD (past)

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1205825882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 S. MONACO ST",
            "address_2": "#210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373486",
            "telephone_number": "303-584-8000",
            "fax_number": "303-584-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 S. MONACO ST",
            "address_2": "#210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373486",
            "telephone_number": "303-584-8000",
            "fax_number": "303-584-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMOND SPINE AND ORTHOPEDICS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "SMITHAM",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "303-584-8000"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100122800B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara J Edick, PA
• Katrina Emilie Edie
• Caroline Edler, MSS, LSW
• Edmond General Surgery LLC
• Edmond Intensivists LLC
• Kristine Lopes Edmonds, MA LPC
• Ana Maria Edmondson
• Edmund Casper MD PC
• Sarah Edstrom, RD, CDCES
• Edsy Home Care

• Orthopaedic Surgery of the Spine Physician in Denver, CO
• Providers in Denver, CO by specialty
• Orthopaedic Surgery of the Spine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.