Northwest Spine Surgery, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

603404908 Issued in WA

Legal business name

NORTHWEST SPINE SURGERY, LLC

Practice address

1110 N. 35TH Ave
Yakima, WA 98902-1622

Phone

(509) 834-7050

Fax

(509) 834-7051

NPI assigned

Jun 3, 2014

Organization subpart

No

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

Authorized official

Name

Brandi Johnson

Title

Clinic Manager

Phone

(509) 834-7050

Specialties & licenses 1

Addresses

Practitioners 1

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

• Eduardo Meirelles, M.D., PH.D

  • Neurological Surgery Physician
  • Yakima, WA
  • NPI 1508843970
  NPD (past)

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401753600000",
    "number": "1265845713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N. 35TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989021622",
            "telephone_number": "509-834-7050",
            "fax_number": "509-834-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N. 35TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989021622",
            "telephone_number": "509-834-7050",
            "fax_number": "509-834-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST SPINE SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-06-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "509-834-7050"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "603404908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Medical Center of Yakima, LLC
• Northwest Medical Clinic
• Northwest Neurosciences
• Northwest Nursing Consultants
• Northwest Physical Therapy, Inc
• Northwest Spine, PLLC
• Northwest Surgery Center
• Northwest Work Options
• Denton Cecil Norwood, M.S, ATC, AT/L
• Kayla Marie Norwood, PTA

• Specialist in Yakima, WA
• Providers in Yakima, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.