Neospine Puyallup Spine Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

NEOSPINE PUYALLUP SPINE CENTER, LLC

Doing business as

Microsurgical Spine Center

Practice address

1519 3Rd St SE
Suite 102
Puyallup, WA 98372-3742

Phone

(253) 841-0705

Fax

(253) 841-4527

NPI assigned

Dec 30, 2005

Organization subpart

No

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

Authorized official

Name

Cathie Boyd Rosa

Title

Officer and Authorized Official

Phone

(253) 604-1413

Specialties & licenses 1

Addresses

Other names 1

• Microsurgical Spine Center Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Listed as

Neospine Puyallup Spine Center LLCCCN 50C0001213

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Multicare Health System

  • General Acute Care Hospital
  • Puyallup, WA
  • NPI 1841231461

  Member Of

  NPD member
• South Sound Neurosurgery PLLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Puyallup, WA
  • NPI 1174799282

  Member Of

  NPD member

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12870/brand/1/csg/1/fhir/r4

Practitioners 2

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

• Kenneth Nwosu

  • Orthopaedic Surgery Physician
  • Torrance, CA
  • NPI 1548543853
  NPD
• Richard N.W. Wohns, M.D.

  • Neurological Surgery Physician
  • Puyallup, WA
  • NPI 1710084744
  NPD (past)

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1275510141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 3RD ST SE",
            "address_2": "SUITE 102",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723742",
            "telephone_number": "253-841-0705",
            "fax_number": "253-841-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 3RD ST SE",
            "address_2": "SUITE 102",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723742",
            "telephone_number": "253-841-0705",
            "fax_number": "253-841-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEOSPINE PUYALLUP SPINE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-30",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "ROSA",
        "authorized_official_first_name": "CATHIE",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "253-604-1413"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Microsurgical Spine Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Microsurgical Spine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathaniel Nelson, D.O.
• Richard D Nelson, BA
• Scott Nelson
• Scott Brian Nelson, D.O.
• Tawnia Ranee Nelson
• Jeff Nerio, D.D.S., M.S.
• Vernon Nessan, MD
• Lance Alfred Nethercott, D.P.M.
• Steven Neufeld, NP-C
• Elizabeth Neuhalfen, MD

• Ambulatory Surgical Clinic/Center in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Ambulatory Surgical Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.