Spine Works Surgical Associates

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

SPINE WORKS SURGICAL ASSOCIATES

Practice address

8801 N Tarrant Pkwy
N Richland Hills, TX 76182-8461

Phone

(214) 618-5600

Fax

(214) 618-7733

NPI assigned

Jul 8, 2013

Organization subpart

No

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

Authorized official

Name

Kim Sivaraman

Title

Billing Manager

Phone

(214) 618-5600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373241600000",
    "number": "1669813523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5566 W MAIN ST STE 210",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750333673",
            "telephone_number": "214-618-5600",
            "fax_number": "214-618-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 N TARRANT PKWY",
            "city": "N RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761828461",
            "telephone_number": "214-618-5600",
            "fax_number": "214-618-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE WORKS SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-08",
        "last_updated": "2013-07-08",
        "status": "A",
        "authorized_official_last_name": "SIVARAMAN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "214-618-5600"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in N Richland Hills, TX
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• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.