Suburban Spine and Orthopedic Center, LLC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

OS 009073L Issued in PA

Legal business name

SUBURBAN SPINE AND ORTHOPEDIC CENTER, LLC

Practice address

931 E Haverford Rd Ste 202
Bryn Mawr, PA 19010-3838

Phone

(610) 558-1001

Fax

(610) 558-1180

NPI assigned

Oct 5, 2009

Organization subpart

No

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

Authorized official

Name

Gerard J Foti, D.O.

Title

Proprietor

Phone

(610) 558-1001

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Scott David Ungemach, D.C.

  • Chiropractor
  • Sugarloaf, PA
  • NPI 1073532131
  NPD (past)

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539475200000",
    "number": "1245565563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 E HAVERFORD RD STE 202",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103838",
            "telephone_number": "610-558-1001",
            "fax_number": "610-558-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 E HAVERFORD RD STE 202",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103838",
            "telephone_number": "610-558-1001",
            "fax_number": "610-558-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN SPINE AND ORTHOPEDIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-05",
        "last_updated": "2018-10-14",
        "status": "A",
        "authorized_official_last_name": "FOTI",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "610-558-1001",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "PA",
            "license": "OS 009073L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Stringer
• Elaine Strohl, PA
• Christopher Struby, D.O.
• Denise M Studnick, PT
• Alena Subacus
• Stephanie Sudjian
• Sherry M Sukol, PHD
• Anna F Sullivan, MS
• Lauren Sullivan, LPC, MED, MS
• Nancy Sullivan, NBC-HWC

• Orthopaedic Surgery of the Spine Physician in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Orthopaedic Surgery of the Spine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.