Spine and Wellness Medical Group PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

SPINE AND WELLNESS MEDICAL GROUP PLLC

Practice address

2780 Homestead Rd Ste 105
Pahrump, NV 89048-5464

Phone

(775) 727-7959

Fax

(775) 727-7960

NPI assigned

Dec 13, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Roberson, MD

Title

Member

Phone

(775) 727-7959

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 5

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

• Chad Bullock, FNP-C

  • Nurse Practitioner
  • Las Vegas, NV
  • NPI 1447642517
  Medicare reassignment Care Compare group NPD
• Creig L Christensen, DC

  • Chiropractor
  • Pahrump, NV
  • NPI 1245646595
  Medicare reassignment Care Compare group NPD
• Brandon L Snead, M.D.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Las Vegas, NV
  • NPI 1174766620
  Medicare reassignment Care Compare group NPD
• Rachel Marie Saenz, MSN, APRN, AGPCNP-C

  • Nurse Practitioner
  • Pahrump, NV
  • NPI 1649622291
  Medicare reassignment NPD
• Reuben I Thaker, MD MPH

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1881890432
  Medicare reassignment NPD

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1245008952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 HOMESTEAD RD STE 105",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890485464",
            "telephone_number": "775-727-7959",
            "fax_number": "775-727-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 HOMESTEAD RD STE 105",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890485464",
            "telephone_number": "775-727-7959",
            "fax_number": "775-727-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND WELLNESS MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "775-727-7959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Sorget
• Southern Nevada Counseling Center, LLC
• Southern Nevada Counseling LLC
• Amber Marie Spaustat
• Spine and Wellness Management Group LLC
• Spirit & Mind Behavioral Services LLC
• Spring Mountain Chiropractic
• Spring Mountain Chiropractic and Rehabilitation
• Spring Mountain Healthcare LLC
• SRD Group Inc

• Physical Medicine & Rehabilitation Physician in Pahrump, NV
• Providers in Pahrump, NV by specialty
• Physical Medicine & Rehabilitation Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.