Spine & Scoliosis Center, P.a.

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

Legal business name

SPINE & SCOLIOSIS CENTER, P.A.

Practice address

104 Park Place Blvd Ste a
Davenport, FL 33837-6866

Phone

(407) 849-1200

Fax

(407) 841-7539

NPI assigned

May 4, 2006

Organization subpart

No

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

Authorized official

Name

Joseph Charles Flynn Jr., M.D.

Title

President

Phone

(407) 849-1200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 9

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

• Joseph Edward Snavely, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Clermont, FL
  • NPI 1639516164
  Medicare reassignment Care Compare group NPD
• Geoffrey Stewart, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Davenport, FL
  • NPI 1528026812
  Medicare reassignment Care Compare group NPD
• Bobbilee L McDonald, PA-C

  • Surgical Physician Assistant
  • Panama City, FL
  • NPI 1558319095
  Medicare reassignment
• Elizabeth Spinney, PA-C

  • Physician Assistant
  • Fleming Island, FL
  • NPI 1720265663
  Medicare reassignment
• Patricia C Bayshore, ARNP

  • Family Nurse Practitioner
  • Mulberry, FL
  • NPI 1679829113
  NPD (past)
• Anissa Hohnstreiter, APRN

  • Gerontology Nurse Practitioner
  • Lakeland, FL
  • NPI 1932657871
  NPD (past)
• Ana D Lipson, MD

  • Pain Medicine (Anesthesiology) Physician
  • Winter Haven, FL
  • NPI 1659377224
  NPD (past)
• Robert Wesley Rowland, P.A.-C

  • Surgical Physician Assistant
  • Orlando, FL
  • NPI 1124241385
  NPD (past)
• Janice Louise West, RN

  • Family Medicine Physician
  • Miami, FL
  • NPI 1184180242
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1497703656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PARK PLACE BLVD STE A",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338376866",
            "telephone_number": "407-849-1200",
            "fax_number": "407-841-7539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PARK PLACE BLVD STE A",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338376866",
            "telephone_number": "407-849-1200",
            "fax_number": "407-841-7539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE & SCOLIOSIS CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-849-1200",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Justin Raphael Stephan, DPT
• Ericka E Stephens, APRN, LCSW

• Orthopaedic Surgery of the Spine Physician in Davenport, FL
• Providers in Davenport, 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 21, 2022; 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.