Spine Group PLLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

SPINE GROUP PLLC

Doing business as

Spine Group PLLC

Practice address

1180 Seton Pkwy Ste 330
Kyle, TX 78640-6179

Phone

(830) 272-7746

Fax

(210) 610-5494

NPI assigned

Dec 13, 2021

Last updated

Dec 14, 2022By 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

Eric James Miller, MDNPI 1619974789

Title

Owner

Phone

(830) 237-5672

Specialties & licenses 1

Addresses

Other names 1

• Spine Group PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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.

• Eric James Miller, MD

  • Interventional Pain Medicine Physician
  • New Braunfels, TX
  • NPI 1619974789
  Medicare reassignment NPD Authorized official
• Michelle Flores, FNP-C

  • Family Nurse Practitioner
  • New Braunfels, TX
  • NPI 1184081747
  Medicare reassignment NPD

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1366101891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "493 S SEGUIN AVE",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781307642",
            "telephone_number": "830-237-5672",
            "fax_number": "210-610-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 SETON PKWY STE 330",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786406179",
            "telephone_number": "830-272-7746",
            "fax_number": "210-610-5494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "493 S Seguin Ave",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781307642",
            "country_code": "US",
            "telephone_number": "830-237-5672",
            "fax_number": "210-610-5494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPINE GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-13",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-237-5672",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spine Group PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spine Group PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pain Medicine (Anesthesiology) Physician in Kyle, TX
• Providers in Kyle, TX by specialty
• Pain Medicine (Anesthesiology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.