Spine Innovations, LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

SPINE INNOVATIONS, LLC

Practice address

11912 Kanis Rd Ste F8
Little Rock, AR 72211-3771

Phone

(501) 255-1580

NPI assigned

Jun 10, 2008

Last updated

Jun 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert D Mazzarella

Title

President

Phone

(501) 255-1580

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1639339021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11912 KANIS RD STE F8",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113771",
            "telephone_number": "501-255-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11912 KANIS RD STE F8",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113771",
            "telephone_number": "501-255-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE INNOVATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "MAZZARELLA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-255-1580",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blake D Spilker
• Lauren E Spilker, M.S
• Monique A Spillman, MD
• Spine Care of Arkansas P.L.L.C
• Spine in Motion
• Rondolyn Spinks, MHPP
• Joshua A Spiva
• Rebecca Brewer Spohn, PH.D.
• John James Spollen III, MD
• Matthew F Spond, M.D.

• Physiological Laboratory in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Physiological Laboratory in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.