The Spine and Migraine Institute LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

231723 Issued in LA

Legal business name

THE SPINE AND MIGRAINE INSTITUTE LLC

Practice address

9456 Jefferson Hwy Ste B
Baton Rouge, LA 70809-2883

Phone

(214) 615-5168

NPI assigned

Nov 27, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Melanie Gross

Title

Director of Revenue Cycle

Phone

(214) 615-5168

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1275878506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3837",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601323837",
            "telephone_number": "214-615-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9456 JEFFERSON HWY STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092883",
            "telephone_number": "214-615-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPINE AND MIGRAINE INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "214-615-5168",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "231723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.