Active NPI
Desert Spine Center a Professional Corporation
- Orthopaedic Surgery of the Spine Physician
- Yuma, AZ
National Provider Identifier
1619311446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 46913
- 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, 2014
- 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
- Dr. Eric Steven Korsh, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Orthopaedic Surgery of the Spine Physician
- San Diego, CA
- NPI 1992760169
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.