Organization Active NPI

Spine-Tek Neuromonitoring, Inc

  • Electroneurodiagnostic Specialist/Technologist
  • Greenwood, IN
National Provider Identifier
1245477603
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
SPINE-TEK NEUROMONITORING, INC
Practice address
3209 W Smith Valley Rd Ste 205
Greenwood, IN 46142-8510
Phone
(317) 503-1350
Fax
(317) 534-3175
NPI assigned
Jan 7, 2009
Last updated
Sep 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Authorized official

Name
Mrs. Erica Lenn Seagrave, CNIMNPI 1265687529
Title
President
Phone
(317) 503-1350

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZE0600X Primary

Addresses

Primary practice location

3209 W Smith Valley Rd Ste 205
Greenwood, IN 46142-8510

Mailing address

PO Box 301
Fairland, IN 46126-0301
Phone (317) 503-1350

National Provider Directory

National Provider Directory

Locations

3209 W Smith Valley Rd
Ste 205
Greenwood, IN 46142
Phone (317) 503-1350

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537920000000",
    "number": "1245477603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301",
            "city": "FAIRLAND",
            "state": "IN",
            "postal_code": "461260301",
            "telephone_number": "317-503-1350",
            "fax_number": "317-534-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 W SMITH VALLEY RD STE 205",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461428510",
            "telephone_number": "317-503-1350",
            "fax_number": "317-534-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE-TEK NEUROMONITORING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2018-09-26",
        "status": "A",
        "authorized_official_last_name": "SEAGRAVE",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "LENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-503-1350",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNIM"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.