Active NPI
Center for Spine and Sports Medicine LLC
- Pain Medicine (Anesthesiology) Physician
- Evansville, IN
National Provider Identifier
1801918024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 01068416A
- Legal business name
- CENTER FOR SPINE AND SPORTS MEDICINE LLC
- Practice address
- 7145 E Virginia St
Evansville, IN 47715-9144 - Phone
- (812) 476-7111
- Fax
- (812) 476-7117
- NPI assigned
- Apr 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Kay Hastetter
- Title
- Practice Manager
- Phone
- (812) 476-7111
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 01068416A | IN | Primary |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 01040195A | IN |
Addresses
Primary practice location
7145 E Virginia St
Evansville, IN 47715-9144
Mailing address
7145 E Virginia St
Suite 5000
Evansville, IN 47715-9144
Phone (812) 476-7111
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421107200000",
"number": "1801918024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7145 E VIRGINIA ST",
"address_2": "SUITE 5000",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477159144",
"telephone_number": "812-476-7111",
"fax_number": "812-476-7117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7145 E VIRGINIA ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477159144",
"telephone_number": "812-476-7111",
"fax_number": "812-476-7117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR SPINE AND SPORTS MEDICINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-06",
"last_updated": "2015-01-13",
"status": "A",
"authorized_official_last_name": "HASTETTER",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "812-476-7111"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "IN",
"license": "01068416A",
"primary": true
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "IN",
"license": "01040195A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
- W Philip R Casino, MD
- Nicholas Alan Cassin, LCSW
- Barbara Hallett Caton, L.A.T./A.T.C.
- Jasmine Jonathan Cecil, PHARMD
- Center for Orthotic and Prosthetic Care of Kentucky, LLC
- Center for Vein Restoration in, LLC
- Centerwell Health Services USA, LLC
- Cep America - Intensivists PC
- Cep America - Neurology PC
- David C Cerling, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.