Spinal Healthcare and Physical Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01018040A Issued in IN

Legal business name

SPINAL HEALTHCARE AND PHYSICAL MEDICINE LLC

Practice address

108 Landin Rd
New Haven, IN 46774-1168

Phone

(260) 493-6565

Fax

(260) 493-6567

NPI assigned

Nov 10, 2011

Last updated

Nov 10, 2011By 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. Stephen H Glassley

Title

Manager

Phone

(260) 493-6565

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 6

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.

• Susan L Bosler, D.C.

  • Chiropractor
  • New Haven, IN
  • NPI 1801882188
  Medicare reassignment
• Richard B Bull, D.C.

  • Chiropractor
  • Fort Wayne, IN
  • NPI 1871589945
  NPD (past)
• Brandon Galbraith, D.C.

  • Chiropractor
  • New Haven, IN
  • NPI 1598157018
  NPD (past)
• Thomas J Newbauer, D.C.

  • Chiropractor
  • Sullivan, IN
  • NPI 1013903186

  Single Specialty

  NPD (past)
• Brittin A Beaulieu, D.C.

  • Chiropractor
  • Clearwater, FL
  • NPI 1962418152
  NPD (past)
• Adam L Daniels, D.C.

  • Chiropractor
  • San Antonio, TX
  • NPI 1194048983
  NPD (past)

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1437436045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 LANDIN RD",
            "city": "NEW HAVEN",
            "state": "IN",
            "postal_code": "467741168",
            "telephone_number": "260-493-6565",
            "fax_number": "260-493-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 LANDIN RD",
            "city": "NEW HAVEN",
            "state": "IN",
            "postal_code": "467741168",
            "telephone_number": "260-493-6565",
            "fax_number": "260-493-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL HEALTHCARE AND PHYSICAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-10",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "GLASSLEY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "260-493-6565",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01018040A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocky W Sites
• Skyler Smith
• Thomas D. Smith III, M.D.
• Troy L Smith, MPT
• Corey Aaron Snyder, MD
• Brad Raymond Stanfield, BC-HIS
• Ashley Stechschulte, DPT
• Lynne Anne Steeber, OTR/L
• Jeremy Duane Stewart
• Mark Arthur Stillwell

• Family Medicine Physician in New Haven, IN
• Providers in New Haven, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.