Spine and Orthopaedics, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

26070 Issued in IA

Legal business name

SPINE AND ORTHOPAEDICS, PC

Practice address

2800 Pierce St
Suite 101
Sioux City, IA 51104-3755

Phone

(712) 224-8677

Fax

(712) 277-1662

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William O Samuelson, M.D.NPI 1619071826

Title

President

Phone

(712) 224-8677

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

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

• William Oliver Samuelson, MD

  • Orthopaedic Surgery of the Spine Physician
  • Sioux City, IA
  • NPI 1619071826
  NPD (past) Authorized official
• James Roland Froggatt, MD

  • Orthopaedic Surgery Physician
  • Sioux City, IA
  • NPI 1700980919
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258070400000",
    "number": "1205977436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 PIERCE ST",
            "address_2": "SUITE 101",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043755",
            "telephone_number": "712-224-8677",
            "fax_number": "712-277-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 PIERCE ST",
            "address_2": "SUITE 101",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043755",
            "telephone_number": "712-224-8677",
            "fax_number": "712-277-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND ORTHOPAEDICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2009-11-13",
        "status": "A",
        "authorized_official_last_name": "SAMUELSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-224-8677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IA",
            "license": "26070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "200017711",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2044800",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Speicher, MA
• Bobbie Jo Speichinger
• Mindy Kay Spenner, DPT
• Christina M Spicer, LISW
• Margerite Lorraine Spindler
• Devyn Noelle Sponder, CCC-SLP
• Lilliana Spreng, RN
• Tamara Squier, PHARMACIST
• Karman Squires, OT
• Mukisa Mark Nkwanga Ssenono, MD

• Specialist in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Specialist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.