Organization Active NPI

Spine Institute of Ohio, LLC

  • Orthopaedic Surgery Physician
  • Columbus, OH
National Provider Identifier
1275878597
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SPINE INSTITUTE OF OHIO, LLC
Practice address
340 E Town St
Suite 8-900
Columbus, OH 43215-4600
Phone
(614) 222-0743
Fax
(614) 222-0744
NPI assigned
Nov 28, 2012
Last updated
Mar 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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

Authorized official

Name
Josue P Gabriel, M.D.NPI 1376506824
Title
Owner, Physician
Phone
(217) 356-3040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

340 E Town St
Suite 8-900
Columbus, OH 43215-4600

Mailing address

340 E Town St
Suite 8-900
Columbus, OH 43215-4600
Phone (614) 222-0743

National Provider Directory

National Provider Directory

Locations

340 E Town St
Fl 8
Columbus, OH 43215
Phone (614) 222-0743

314 W Center St
Marion, OH 43302
Phone (614) 222-0743

8046 Ohio River Rd
Wheelersburg, OH 45694
Phone (740) 574-2042

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1362441600000",
    "number": "1275878597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 E TOWN ST",
            "address_2": "SUITE 8-900",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154600",
            "telephone_number": "614-222-0743",
            "fax_number": "614-222-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E TOWN ST",
            "address_2": "SUITE 8-900",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154600",
            "telephone_number": "614-222-0743",
            "fax_number": "614-222-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE INSTITUTE OF OHIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-28",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "JOSUE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER, PHYSICIAN",
        "authorized_official_telephone_number": "217-356-3040",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.