Organization Active NPI

Spine Care America PC

  • Orthopaedic Surgery of the Spine Physician
  • Vero Beach, FL
National Provider Identifier
1215465414
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
SPINE CARE AMERICA PC
Practice address
1355 37TH St Ste 302
Vero Beach, FL 32960-7320
Phone
(561) 902-7508
NPI assigned
Jun 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Dr. John Atwater, MD
Title
Owner
Phone
(309) 287-4621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XS0117X Primary

Addresses

Primary practice location

1355 37TH St Ste 302
Vero Beach, FL 32960-7320

Mailing address

2257 W Ocean Oaks Cir Ste 302
Vero Beach, FL 32963-3170

Other practice location 1

2257 W Ocean Oaks Cir Ste 302
Vero Beach, FL 32963-3170
Phone (561) 902-7508

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1215465414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2257 W OCEAN OAKS CIR STE 302",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329633170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 37TH ST STE 302",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607320",
            "telephone_number": "561-902-7508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2257 W Ocean Oaks Cir Ste 302",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329633170",
            "country_code": "US",
            "telephone_number": "561-902-7508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPINE CARE AMERICA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-01",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "ATWATER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-287-4621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.