Citrus Spine Institute LLC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

ME80012 Issued in FL

Legal business name

CITRUS SPINE INSTITUTE LLC

Practice address

6099 W Gulf to Lake Hwy
Crystal River, FL 34429-8721

Phone

(352) 794-6868

Fax

(352) 794-6869

NPI assigned

Sep 3, 2015

Last updated

Sep 3, 2015By 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. Constantine Andrew Toumbis, MD, PHDNPI 1386781409

Title

Owner

Phone

(352) 257-3391

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Locations

Practitioners 3

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.

• Constantine A Toumbis, MD, PHD

  • Orthopaedic Surgery of the Spine Physician
  • Crystal River, FL
  • NPI 1386781409
  Medicare reassignment Care Compare group NPD Authorized official
• Erika Marie Hernandez, APRN, FNP-BC

  • Family Nurse Practitioner
  • Crystal River, FL
  • NPI 1811639164
  Medicare reassignment Care Compare group NPD
• Brittany Jeanne Olofsson, PAC

  • Medical Physician Assistant
  • Crystal River, FL
  • NPI 1679769194
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1396113676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6099 W GULF TO LAKE HWY",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344298721",
            "telephone_number": "352-794-6868",
            "fax_number": "352-794-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6099 W GULF TO LAKE HWY",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344298721",
            "telephone_number": "352-794-6868",
            "fax_number": "352-794-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITRUS SPINE INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "TOUMBIS",
        "authorized_official_first_name": "CONSTANTINE",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-257-3391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "ME80012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269693200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Citrus Path LLC
• Citrus Pest Management Inc.
• Citrus Rehabilitation
• Jerillyn Marie Clark
• Robert A Clark, MD
• Clinical Pet of Citrus LLC
• Alistair C Co, MD
• Coast Dental P.a. (Coast Dental-Crystal River)

• Orthopaedic Surgery of the Spine Physician in Crystal River, FL
• Providers in Crystal River, FL by specialty
• Orthopaedic Surgery of the Spine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.