Active NPI
Neurospine Associates PC
- Neurological Surgery Physician
- Harrisburg, PA
National Provider Identifier
1275878571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Devanand A. Dominique, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 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 DirectoryLocations
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.
-
- Neurological Surgery Physician
- Columbia, SC
- NPI 1477541456
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.