Active NPI
Spine Cin of Phoenix LLC
- Orthopaedic Surgery Physician
- Phoenix, AZ
National Provider Identifier
1508364852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- SPINE CIN OF PHOENIX LLC
- Practice address
- 2155 W Pinnacle Peak Rd Ste 201a
Phoenix, AZ 85027-1201 - Phone
- (615) 386-0064
- Fax
- (615) 386-0067
- NPI assigned
- Jan 31, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward Leland Hutton Eadie
- Title
- Director
- Phone
- (615) 733-2064
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | AZ | Primary | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | AZ |
Addresses
Primary practice location
2155 W Pinnacle Peak Rd Ste 201a
Phoenix, AZ 85027-1201
Mailing address
102 Woodmont Blvd Ste 350
Nashville, TN 37205-2216
Phone (615) 386-0064
National Provider Directory
National Provider DirectoryLocations
2155 W Pinnacle Peak Rd
Ste 201A
Phoenix, AZ 85027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1517356800000",
"number": "1508364852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WOODMONT BLVD STE 350",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372052216",
"telephone_number": "615-386-0064",
"fax_number": "615-386-0067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2155 W PINNACLE PEAK RD STE 201A",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850271201",
"telephone_number": "615-386-0064",
"fax_number": "615-386-0067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPINE CIN OF PHOENIX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-31",
"last_updated": "2018-01-31",
"status": "A",
"authorized_official_last_name": "EADIE",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "LELAND HUTTON",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "615-733-2064"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "AZ",
"license": null,
"primary": true
},
{
"code": "207XS0117X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "AZ",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.