Spineintervention Medical Group

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

G691640 Issued in CA

Legal business name

SPINEINTERVENTION MEDICAL GROUP

Practice address

6121 N Thesta St
Ste 106
Fresno, CA 93710-8603

Phone

(559) 435-1846

Fax

(559) 435-0127

NPI assigned

Sep 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. William E Von Kaenel, MDNPI 1336201011

Title

Physician / Owner

Phone

(559) 435-0177

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• William Edward Von Kaenel II, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Fresno, CA
  • NPI 1336201011
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1730337205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 N THESTA ST",
            "address_2": "STE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108603",
            "telephone_number": "559-435-1846",
            "fax_number": "559-435-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 N THESTA ST",
            "address_2": "STE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108603",
            "telephone_number": "559-435-1846",
            "fax_number": "559-435-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINEINTERVENTION MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "VON KAENEL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "559-435-0177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "G691640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Cecilia Spezia, MD
• Megan Spikes
• Charles T Spina, PT,JSCC,CEAS
• Spine and Orthopaedic Medical Center
• Spine and Pain Treatment Medical Center of Santa Barbara Inc.
• Spirit of Woman of Ca, Inc.
• James Spiropulos
• Spitzer'S Physical Therapy and Personal Training Center, Inc.
• Kristine Splan
• Hunter Jonathan Spomer

• Interventional Pain Medicine Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Interventional Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.