Neurospinal Surgery, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

R4651 Issued in MO

Legal business name

NEUROSPINAL SURGERY, PC

Practice address

226 S Woods Mill Rd
Suite 54 W
Chesterfield, MO 63017-3662

Phone

(314) 388-6513

Fax

(314) 878-0847

NPI assigned

Jun 11, 2006

Last updated

Oct 5, 2016By 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

Mrs. Jacki Jordan

Title

Billing Manager

Phone

(314) 432-2580

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

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.

• Jose A Marchosky, M.D.

  • Specialist
  • Chesterfield, MO
  • NPI 1558307272
  Medicare reassignment NPD

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1255373882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4520",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601974520",
            "telephone_number": "314-432-2580",
            "fax_number": "314-991-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 S WOODS MILL RD",
            "address_2": "SUITE 54 W",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173662",
            "telephone_number": "314-388-6513",
            "fax_number": "314-878-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSPINAL SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "JACKI",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "314-432-2580",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "R4651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP#",
            "identifier": "DB5175",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "000014163",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Neudecker, NP-C
• Derrick Neuner
• Neurodiagnostics, Inc.
• Neurological and Electrodiagnostic Institute of St. Louis Inc.
• Neuroregenesis, P.C.
• Neurosurgery and Neurology LLC
• New Hope Human Services
• New Plan, LLC
• Joshua Joseph Newman, PA-C
• Lindsay Newman, OT

• Specialist in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.