Functional Spine Center, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FUNCTIONAL SPINE CENTER, PA

Practice address

185 Webster St Ste 15
Lewiston, ME 04240-5500

Phone

(207) 777-7711

Fax

(207) 777-7712

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Veronica Elko, D.C.NPI 1942348479

Title

Co-Owner

Phone

(207) 777-7711

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 2

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

• Veronica Elko, D.C.

  • Chiropractor
  • Lewiston, ME
  • NPI 1942348479
  Medicare reassignment Care Compare group NPD Authorized official
• Stephen Flynn, D.C.

  • Chiropractor
  • Lewiston, ME
  • NPI 1497893929
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1811036346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 WEBSTER ST STE 15",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405500",
            "telephone_number": "207-777-7711",
            "fax_number": "207-777-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 WEBSTER ST STE 15",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405500",
            "telephone_number": "207-777-7711",
            "fax_number": "207-777-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL SPINE CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "ELKO",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "207-777-7711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory S Friedel, MD
• Michael Friendly, MD
• Aaron Davis Frost
• Kassidy Marie Frost, OTR/L
• Carmine Frumiento, MD
• Katlyn Marie Furness, LADC,CCS
• Amy Lynn Gabrielski, CADC
• Alyssa Ann Gagne
• Amanda Gagne, OTR/L
• Samantha Gagne

• Chiropractor in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Chiropractor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.