Eidelson Spine Inc

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

G89325 Issued in CA

Legal business name

EIDELSON SPINE INC

Practice address

1900 Garden Rd
Ste.120
Monterey, CA 93940-5373

Phone

(831) 657-0111

Fax

(831) 656-1202

NPI assigned

Jun 11, 2013

Organization subpart

No

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

Authorized official

Name

Stewart G Eidelson, M.D.

Title

President

Phone

(561) 716-1560

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1225476328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 JOG RD",
            "address_2": "SUITE 107",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462162",
            "telephone_number": "561-742-5959",
            "fax_number": "561-734-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 GARDEN RD",
            "address_2": "STE.120",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405373",
            "telephone_number": "831-657-0111",
            "fax_number": "831-656-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EIDELSON SPINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-11",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "EIDELSON",
        "authorized_official_first_name": "STEWART",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-716-1560",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "G89325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Edward W Kwiatkowski DDS Mary Anne Marschik Nawae Osman DDS Profession
• Ian Edwards, CMP
• Karen Egu, PSYD
• David J Eikenberry, MD
• Anne Marie Eisenmann, MSOT, OTR/L
• John J. Eisinger
• Sonya Grace Ekstrom, MA, AMFT
• Kimberly Anne Manzan Eleazar, CMT

• Orthopaedic Surgery of the Spine Physician in Monterey, CA
• Providers in Monterey, CA by specialty
• Orthopaedic Surgery of the Spine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.