Spinetech Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SPINETECH SURGERY CENTER LLC

Practice address

950 N 11TH St
Beaumont, TX 77702-1203

Phone

(409) 833-0193

Fax

(844) 873-4788

NPI assigned

May 26, 2017

Last updated

Oct 25, 2024By 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

Chun Brace

Title

Administrator

Phone

(409) 234-7088

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Spinetech Surgery CenterCCN 45C0001674

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

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.

• Erwin Lo, MD

  • Specialist
  • Beaumont, TX
  • NPI 1760482640
  NPD
• Hassan Chahadeh, MD PA

  • Interventional Pain Medicine Physician
  • Houston, TX
  • NPI 1730124470
  NPD (past)
• Jihoon Choi, MD

  • Orthopaedic Surgery of the Spine Physician
  • Rockwall, TX
  • NPI 1285097741
  NPD (past)
• Don Auffurth Duplan, MD

  • Otolaryngology Physician
  • Port Arthur, TX
  • NPI 1598763062
  NPD (past)
• Arshad A Khan, DPM

  • Foot & Ankle Surgery Podiatrist
  • Beaumont, TX
  • NPI 1114977907
  NPD (past)
• Sujin Yu, MD

  • Specialist
  • Beaumont, TX
  • NPI 1710987672
  NPD (past)

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1497283048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 S 11TH ST STE 102",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013723",
            "telephone_number": "409-892-8237",
            "fax_number": "409-898-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N 11TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021203",
            "telephone_number": "409-833-0193",
            "fax_number": "844-873-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINETECH SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-26",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "BRACE",
        "authorized_official_first_name": "CHUN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "409-234-7088"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spindletop MHMR Services
• Spindletop MHMR Services
• Spindletop MHMR Services
• Spindletop MHMR Services
• Spindletop MHMR Services
• Monica Spittler, LCDC
• Spring Creek Nursing and Rehabilitation LP
• Springleaf Health Medical, LP (American Wellness Lab)
• Maxie C Sprott II, M.D.
• Vida Riston Sprott, APRN, CNM, FNP

• Ambulatory Surgical Clinic/Center in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.