Ortho Spine LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MD27538 Issued in OR

Legal business name

ORTHO SPINE LLC

Practice address

2801 NW Mercy Dr Ste 300
Roseburg, OR 97470-2348

Phone

(541) 677-2131

Fax

(541) 677-2136

NPI assigned

Jul 25, 2007

Last updated

Jul 25, 2007By 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

Dr. Susan Lai Williams, MD

Title

Owner

Phone

(541) 677-2131

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1720278922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 NW MERCY DR STE 300",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974702348",
            "telephone_number": "541-677-2131",
            "fax_number": "541-677-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 NW MERCY DR STE 300",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974702348",
            "telephone_number": "541-677-2131",
            "fax_number": "541-677-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-677-2131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "MD27538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Optimal Health Management
• Siobhan A Oreilly, DO
• Andrea Ormond
• Bryn Orr
• Robert M Orr, D.D.S.
• Brandy Ayn Osborn - Hanshaw
• Sharon L Osborne, OT
• Janae Lynn Osburn
• Paige Putman Osburn, RN
• Wendy Marie Osincup, CHW,CLC

• Orthopaedic Surgery Physician in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Orthopaedic Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.