Minimal Invasive Spine Specialist

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

C32342 Issued in CA

Legal business name

MINIMAL INVASIVE SPINE SPECIALIST

Practice address

6137 N Thesta St
Fresno, CA 93710-8605

Phone

(559) 432-1647

Fax

(559) 436-7828

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stephen A Smith, MD

Title

President

Phone

(559) 432-1647

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619018785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6137 N THESTA ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108605",
            "telephone_number": "559-432-1647",
            "fax_number": "559-436-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6137 N THESTA ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108605",
            "telephone_number": "559-432-1647",
            "fax_number": "559-436-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINIMAL INVASIVE SPINE SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-432-1647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "C32342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Jacob Minden, DO
• Mindful Solutions LLC
• Kianna Minear
• Kathleen Mingming
• Sumeet Minhas, NP
• Minimally Invasive Spine Specialist Medical Center, Inc.
• Janine Marie Minner
• Andre Nicolai Minuth, MD
• Danial Mir
• Kimy Joan Mira, DNAP, CRNA

• Orthopaedic Surgery of the Spine Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Orthopaedic Surgery of the Spine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.