NPIMap

Organization Active NPI

Center for Advanced Spine Technologies, Inc.

  • Orthopaedic Surgery of the Spine Physician
  • Cincinnati, OH
National Provider Identifier
1578890927
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
35085087 Issued in OH
Legal business name
CENTER FOR ADVANCED SPINE TECHNOLOGIES, INC.
Practice address
4555 Lake Forest Dr
Suite 150
Cincinnati, OH 45242-3785
Phone
(513) 281-2278
Fax
(888) 322-2278
NPI assigned
Nov 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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

Authorized official

Name
Dr. Abubakar Atiq Durrani, M.D.
Title
President
Phone
(513) 281-2278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X 35085087 OH Primary

Addresses

Primary practice location

4555 Lake Forest Dr
Suite 150
Cincinnati, OH 45242-3785

Mailing address

4555 Lake Forest Dr
Suite 150
Cincinnati, OH 45242-3785
Phone (513) 281-2278

Other identifiers 3

IdentifierTypeStateIssuer
2555588MedicaidOH
64107618MedicaidKY
200503730MedicaidIN

National Provider Directory

National Provider Directory

Locations

4555 Lake Forest Dr
Ste 150
Blue Ash, OH 45242
Phone (513) 281-2278

NPI Registry JSON

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1578890927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 LAKE FOREST DR",
            "address_2": "SUITE 150",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452423785",
            "telephone_number": "513-281-2278",
            "fax_number": "888-322-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 LAKE FOREST DR",
            "address_2": "SUITE 150",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452423785",
            "telephone_number": "513-281-2278",
            "fax_number": "888-322-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ADVANCED SPINE TECHNOLOGIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "DURRANI",
        "authorized_official_first_name": "ABUBAKAR",
        "authorized_official_middle_name": "ATIQ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-281-2278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "OH",
            "license": "35085087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2555588",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64107618",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200503730",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.