Neurospinecare, Inc.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

NEUROSPINECARE, INC.

Practice address

5319 Hoag Dr
Suite 100
Sheffield Village, OH 44035-1494

Phone

(440) 930-6015

Fax

(440) 930-6094

NPI assigned

May 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mario M Sertich, M.D.

Title

President

Phone

(440) 930-6015

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1790743540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5319 HOAG DR",
            "address_2": "SUITE 100",
            "city": "SHEFFIELD VILLAGE",
            "state": "OH",
            "postal_code": "440351494",
            "telephone_number": "440-930-6015",
            "fax_number": "440-930-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5319 HOAG DR",
            "address_2": "SUITE 100",
            "city": "SHEFFIELD VILLAGE",
            "state": "OH",
            "postal_code": "440351494",
            "telephone_number": "440-930-6015",
            "fax_number": "440-930-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSPINECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "SERTICH",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-930-6015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0239030",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Digna Moya, MD
• Rummel T Moya, MD
• Mary Munn, LISW
• Amar Basavaraj Mutnal, M.D.
• Arthur J Myers, PA-C
• Kimberly Marie Nichelson, DPM
• Brittney M Nighswander, PT
• Sasha Natalie Noe, DO, PHD
• Northern Ohio Medical Specialists, LLC
• Northern Ohio Medical Specialists,LLC

• Interventional Pain Medicine Physician in Sheffield Village, OH
• Providers in Sheffield Village, OH by specialty
• Interventional Pain Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.