GBS Spinal Associates LLC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

Legal business name

GBS SPINAL ASSOCIATES LLC

Practice address

9301 Connecticut Dr
Crown Point, IN 46307-7486

Phone

(574) 314-5023

Fax

(609) 925-9007

NPI assigned

Oct 8, 2018

Organization subpart

No

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

Authorized official

Name

Fran Pedano

Title

RCM Director

Phone

(574) 204-2859

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544572800000",
    "number": "1255806048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11750 KATY FWY STE 1100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791257",
            "telephone_number": "574-204-2859",
            "fax_number": "609-925-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 CONNECTICUT DR",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077486",
            "telephone_number": "574-314-5023",
            "fax_number": "609-925-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GBS SPINAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-08",
        "last_updated": "2018-12-12",
        "status": "A",
        "authorized_official_last_name": "PEDANO",
        "authorized_official_first_name": "FRAN",
        "authorized_official_title_or_position": "RCM DIRECTOR",
        "authorized_official_telephone_number": "574-204-2859"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery of the Spine Physician in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Orthopaedic Surgery of the Spine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.