Salem Brain & Spine, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

MD 150631 Issued in OR

Legal business name

SALEM BRAIN & SPINE, LLC

Practice address

700 Bellevue St SE
Suite 245
Salem, OR 97301-3819

Phone

(503) 990-6398

Fax

(503) 990-6399

NPI assigned

Mar 31, 2010

Last updated

Nov 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Magdalena Janina Banasiak, MD

Title

Owner

Phone

(503) 990-6398

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.

• Duane Gary Beard, MD

  • Gynecology Physician
  • Salem, OR
  • NPI 1114921103
  NPD (past)
• Thomas A Kahan, MD

  • Gynecology Physician
  • Salem, OR
  • NPI 1184601593
  NPD (past)
• Kenneth M Wilson, MD

  • Surgery of the Hand (Surgery) Physician
  • Salem, OR
  • NPI 1558388025
  NPD (past)

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1235454455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 BELLEVUE ST SE",
            "address_2": "SUITE 245",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013819",
            "telephone_number": "503-990-6398",
            "fax_number": "503-990-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 BELLEVUE ST SE",
            "address_2": "SUITE 245",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013819",
            "telephone_number": "503-990-6398",
            "fax_number": "503-990-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM BRAIN & SPINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-31",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "BANASIAK",
        "authorized_official_first_name": "MAGDALENA",
        "authorized_official_middle_name": "JANINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-990-6398",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OR",
            "license": "MD 150631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500626535",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Leigh Salcido Giles, CADC I, QMHA
• Salem Acupuncture and Chinese Medicine
• Salem Ambulatory Surgery Center, LLC
• Salem Area Mass Transit District
• Salem Audiology Clinic, Inc
• Salem Cardiology Arrhythmia Division, P.C.
• Salem Cardiovascular Associates, PC (Salem Cardiology Associates, PC)
• Salem Chiropractic and Wellness Corporation
• Salem Chiropractic Clinic, PC (WSC Chiropractic Physicians)
• Salem Clinic, PC

• Health Service Clinic/Center in Salem, OR
• Providers in Salem, OR by specialty
• Health Service Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.