Organization Active NPI

Neuro Spine & Wellness Center

  • Neuromusculoskeletal Medicine & OMM Physician
  • Marysville, OH
National Provider Identifier
1477153609
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
Legal business name
NEURO SPINE & WELLNESS CENTER
Practice address
445 Allenby Dr
Marysville, OH 43040-8722
Phone
(614) 468-0300
Fax
(833) 392-1202
NPI assigned
Oct 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Authorized official

Name
Heather Gore
Title
Coo
Phone
(614) 468-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204D00000X Primary

Addresses

Primary practice location

445 Allenby Dr
Marysville, OH 43040-8722

Mailing address

445 Allenby Dr
Marysville, OH 43040-8722

National Provider Directory

National Provider Directory

Locations

165 W Center St
Ste 302
Marion, OH 43302

165 W Center St
Marion, OH 43302
Phone (740) 692-4410

150 E Wilson Bridge Rd
Ste 130
Worthington, OH 43085
Phone (614) 468-0300

150 E Wilson Bridge Rd
Worthington, OH 43085
Phone (740) 348-6016

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1477153609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 ALLENBY DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430408722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 ALLENBY DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430408722",
            "telephone_number": "614-468-0300",
            "fax_number": "833-392-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO SPINE & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "GORE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "614-468-0300"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.