Spine Physicians PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SPINE PHYSICIANS PC

Practice address

20940 N Tatum Blvd
Suite 350
Phoenix, AZ 85050-4265

Phone

(480) 503-3344

NPI assigned

Dec 18, 2009

Organization subpart

No

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

Authorized official

Name

Randall C Pruitt, D.C.

Title

Director

Phone

(480) 503-3344

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261094400000",
    "number": "1285963389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8912 E PINNACLE PEAK RD",
            "address_2": "SUITE F9-644",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852553659",
            "telephone_number": "480-503-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20940 N TATUM BLVD",
            "address_2": "SUITE 350",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504265",
            "telephone_number": "480-503-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-18",
        "last_updated": "2009-12-18",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "480-503-3344",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spine & Orthopaedic Physical Therapy Center, LLC
• Spine & Orthopedic Institute
• Spine and Regenerative Medicine PLLC
• Spine Cin of Phoenix LLC
• Spine Consultants LLC
• Spine Specialists of Arizona PC
• Spinefit PLLC
• Ellen Renee Spinner, SCHOOL COUNSELOR
• Andrea Lynn Spira O'Connor, N.M.D., R.N.
• Tracee Nicole Spire, CHW

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; 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.