Laser Spine Institute of Pennsylvania, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

LASER SPINE INSTITUTE OF PENNSYLVANIA, LLC

Practice address

656 E Swedesford Rd
Suite 100
Wayne, PA 19087-1606

Phone

(813) 289-9613

Fax

(813) 418-4112

NPI assigned

Aug 25, 2009

Organization subpart

Yes

Parent organization

LASER SPINE INSTITUTE, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Craig S Niebur

Title

Chief Financial Officer

Phone

(813) 289-9613

Specialties & licenses 1

Addresses

Part of

Laser Spine Institute LLC

Practitioners 2

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

• Vernon Raymond Morris Jr., MD

  • Neuromusculoskeletal Medicine & OMM Physician
  • Tampa, FL
  • NPI 1669424438
  NPD (past)
• David Kurt Van Dam, M.D.

  • Anesthesiology Physician
  • Scottsdale, AZ
  • NPI 1083729719
  NPD (past)

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1730312786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 E SWEDESFORD RD",
            "address_2": "SUITE 100",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871606",
            "telephone_number": "813-289-9613",
            "fax_number": "813-418-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 E SWEDESFORD RD",
            "address_2": "SUITE 100",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871606",
            "telephone_number": "813-289-9613",
            "fax_number": "813-418-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER SPINE INSTITUTE OF PENNSYLVANIA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LASER SPINE INSTITUTE, LLC",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "NIEBUR",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "813-289-9613",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Lampley, HIS
• Lisa-Marie Lanciotti, PT
• Kaelee Landis
• Thomas L. Landis, M.ED.
• Laser Spine Institute LLC Sole MBR
• Laser Spine Surgery Center of Pennsylavnia, LLC
• Sharon Lausch, M. ED., BCBA, LBS
• Bryant Tin Le, PHARMD
• Carin Marice Lefkowitz, PSY.D.
• David S. Leidy, D.M.D.

• Specialist in Wayne, PA
• Providers in Wayne, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.