Neurospine LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101254853 Issued in VA

Legal business name

NEUROSPINE LLC

Practice address

8230 Boone Blvd
Suite 360
Vienna, VA 22182-2621

Phone

(703) 889-8959

Fax

(703) 370-0706

NPI assigned

Apr 3, 2014

Last updated

Apr 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Janice C Carswell Stewart

Title

Director of Operations

Phone

(301) 364-9010

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1336567627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8230 BOONE BLVD",
            "address_2": "SUITE 360",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822621",
            "telephone_number": "703-889-8959",
            "fax_number": "703-370-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 BOONE BLVD",
            "address_2": "SUITE 360",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822621",
            "telephone_number": "703-889-8959",
            "fax_number": "703-370-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-03",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "CARSWELL STEWART",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "301-364-9010",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101254853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Vienna, VA
• Providers in Vienna, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; 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.