The Right Spinal Clinic Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

HCC11165 Issued in FL

Legal business name

THE RIGHT SPINAL CLINIC INC

Practice address

4019 W Waters Ave Ste E
Tampa, FL 33614-2333

Phone

(813) 392-2164

Fax

(813) 392-2165

NPI assigned

Oct 10, 2017

Organization subpart

No

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

Authorized official

Name

Lianny Jimenez-Urdanivia

Title

Owner

Phone

(813) 392-2164

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• The Right Spinal Clinic Inc

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1962086777

  O20200821000253

  Same enrollment

Tax ID family

Easycare Florida2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Right Spinal Clinic Inc

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1962086777
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21622/brand/1/csg/1/fhir/r4

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohsin Ansari, DPT

  • Physical Therapist
  • Temple Terrace, FL
  • NPI 1538516398
  Medicare reassignment NPD
• Marie Nancy Confident Barroso, APRN

  • Adult Health Nurse Practitioner
  • St Petersburg, FL
  • NPI 1487189049
  Medicare reassignment NPD
• Douglas George Scott II, DO

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1750474375
  Medicare reassignment NPD
• Wendy Thompson

  • Physical Therapist
  • Tampa, FL
  • NPI 1760996805
  Medicare reassignment NPD
• Celena Vinent Carbonell, MD

  • General Practice Physician
  • Port Richey, FL
  • NPI 1770043507
  Medicare reassignment NPD

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1619487246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4019 W WATERS AVE STE E",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142333",
            "telephone_number": "813-392-2164",
            "fax_number": "813-392-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4019 W WATERS AVE STE E",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142333",
            "telephone_number": "813-392-2164",
            "fax_number": "813-392-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RIGHT SPINAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2022-07-21",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ-URDANIVIA",
        "authorized_official_first_name": "LIANNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-392-2164"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC11165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.