Advanced Spine and Rehab Center PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ADVANCED SPINE AND REHAB CENTER PC

Practice address

4205 Glass Rd NE
Cedar Rapids, IA 52402-2514

Phone

(319) 294-0094

Fax

(319) 294-0095

NPI assigned

Feb 12, 2007

Last updated

Feb 2, 2016By 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

Dr. Jeffrey Alan Mitchell, D.C.NPI 1306873328

Title

President

Phone

(319) 981-2292

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72613

Practitioners 9

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.

• Jeffrey Alan Mitchell, D.C.

  • Chiropractor
  • Cedar Rapids, IA
  • NPI 1306873328
  Medicare reassignment Care Compare group NPD Authorized official
• Michelle Ann Donohue, ARNP

  • Acute Care Nurse Practitioner
  • Cedar Rapids, IA
  • NPI 1306210729
  Medicare reassignment Care Compare group NPD
• Megan Elizabeth Gilmere, ACNPC-AG

  • Nurse Practitioner
  • Cedar Rapids, IA
  • NPI 1679240972
  Medicare reassignment Care Compare group NPD
• Timothy J. Miller, M.D.

  • Pain Medicine Physician
  • Davenport, IA
  • NPI 1265439947
  Medicare reassignment Care Compare group NPD
• Olivia Parmelee, DC

  • Chiropractor
  • Williamsburg, IA
  • NPI 1821862079
  Medicare reassignment Care Compare group NPD
• David Kent Reeves, PT

  • Physical Therapist
  • Amana, IA
  • NPI 1720149149
  Medicare reassignment Care Compare group NPD
• Kara Elizabeth Gillis, DC

  • Chiropractor
  • Rock Island, IL
  • NPI 1790434520

  IA

  Medicare reassignment Care Compare group NPD
• John Eikenberry, PT, LAT

  • Physical Therapist
  • Vinton, IA
  • NPI 1982448205
  Medicare reassignment Care Compare group
• Melissa Anne Janssen, ANRP

  • Nurse Practitioner
  • Cedar Rapids, IA
  • NPI 1245584564
  NPD

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1386785293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 GLASS RD NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524022514",
            "telephone_number": "319-294-0094",
            "fax_number": "319-294-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 GLASS RD NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524022514",
            "telephone_number": "319-294-0094",
            "fax_number": "319-294-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SPINE AND REHAB CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-981-2292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "6916",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "27216",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IA",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "110073",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barth David Adolphson, D.C.
• Rebekah Ann Adolphson, LMSW
• Adrian P Rehak, DDS, PC
• Advanced Center for Electrolysis & Laser, LLC (Advanced Center for Electrolysis, Laser & Skin)
• Advanced Dental Care, PC
• Advantage Chiropractic, PLLC
• Affiliates of Family Practice of Cedar Rapids (Affiliates of Family Practice)
• Affordable Dentures - Cedar Rapids, P.C.
• Affordable Dentures & Implants - Cedar Rapids III, P.C.
• Affordable Dentures & Implants - Cedar Rapids IV, P.C.

• Family Medicine Physician in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.