Omni Surgical, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

OMNI SURGICAL, LLC

Doing business as

Spine 360

Practice address

5000 Plaza on the LK
Suite 305
Austin, TX 78746-1069

Phone

(512) 327-6400

NPI assigned

Apr 9, 2013

Last updated

Apr 9, 2013By 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

Mr. William Bisell Daniel Jr.

Title

Cfo

Phone

(512) 327-6400

Specialties & licenses 1

Addresses

Other names 1

• Spine 360 Doing business as

Locations

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1255774345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 PLAZA ON THE LK",
            "address_2": "SUITE 305",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787461069",
            "telephone_number": "512-327-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 PLAZA ON THE LK",
            "address_2": "SUITE 305",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787461069",
            "telephone_number": "512-327-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI SURGICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BISELL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "512-327-6400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spine 360",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Austin, TX
• Providers in Austin, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.