Organization Active NPI

Desert Spine Center a Professional Corporation

  • Orthopaedic Surgery of the Spine Physician
  • Yuma, AZ
National Provider Identifier
1619311446
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
46913 Issued in AZ
Legal business name
DESERT SPINE CENTER A PROFESSIONAL CORPORATION
Practice address
2281 W 24TH St Ste 5
Yuma, AZ 85364-6197
Phone
(928) 276-9930
Fax
(858) 715-8324
NPI assigned
Apr 23, 2013
Last updated
May 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Authorized official

Name
Dr. Eric Steven Korsh, M.D.NPI 1992760169
Title
President
Phone
(858) 354-6489

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 46913 AZ Primary

Addresses

Primary practice location

2281 W 24TH St Ste 5
Yuma, AZ 85364-6197

Mailing address

3760 Convoy St Ste 114
San Diego, CA 92111-3743
Phone (858) 715-8444

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1619311446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 CONVOY ST STE 114",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113743",
            "telephone_number": "858-715-8444",
            "fax_number": "858-715-8324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2281 W 24TH ST STE 5",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646197",
            "telephone_number": "928-276-9930",
            "fax_number": "858-715-8324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT SPINE CENTER A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-23",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "KORSH",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-354-6489",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "AZ",
            "license": "46913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.