Organization Active NPI

Neurospine Associates PC

  • Neurological Surgery Physician
  • Harrisburg, PA
National Provider Identifier
1275878571
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
NEUROSPINE ASSOCIATES PC
Practice address
845 Sir Thomas CT
Suite # 1
Harrisburg, PA 17109-4843
Phone
(717) 545-7100
Fax
(717) 545-8100
NPI assigned
Nov 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Authorized official

Name
Devanand A. Dominique, MDNPI 1477541456
Title
Owner
Phone
(717) 545-7100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X PA Primary

Addresses

Primary practice location

845 Sir Thomas CT
Suite # 1
Harrisburg, PA 17109-4843

Mailing address

845 Sir Thomas CT
Suite # 1
Harrisburg, PA 17109-4843
Phone (717) 545-7100

National Provider Directory

National Provider Directory

Locations

845 Sir Thomas Ct
Ste 1
Harrisburg, PA 17109
Phone (717) 254-6540

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1275878571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 SIR THOMAS CT",
            "address_2": "SUITE # 1",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094843",
            "telephone_number": "717-545-7100",
            "fax_number": "717-545-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 SIR THOMAS CT",
            "address_2": "SUITE # 1",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094843",
            "telephone_number": "717-545-7100",
            "fax_number": "717-545-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSPINE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "DOMINIQUE",
        "authorized_official_first_name": "DEVANAND",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-545-7100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.