Spinal & Neurosurgical Institute P.C.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

01050352A Issued in IN

Legal business name

SPINAL & NEUROSURGICAL INSTITUTE P.C.

Practice address

1600 S Lake Park Ave
Ste 1102
Hobart, IN 46342-6641

Phone

(219) 942-6501

Fax

(219) 942-0124

NPI assigned

Nov 8, 2007

Last updated

Mar 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wayel Kaakaji, M.D.

Title

President

Phone

(219) 942-6501

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohamed H Elnabtity, M.D.

  • Neurological Surgery Physician
  • East Lansing, MI
  • NPI 1255385910
  NPD (past)

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1811177785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S LAKE PARK AVE",
            "address_2": "STE 1102",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426641",
            "telephone_number": "219-942-6501",
            "fax_number": "219-942-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S LAKE PARK AVE",
            "address_2": "STE 1102",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426641",
            "telephone_number": "219-942-6501",
            "fax_number": "219-942-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL & NEUROSURGICAL INSTITUTE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "KAAKAJI",
        "authorized_official_first_name": "WAYEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-942-6501",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IN",
            "license": "01050352A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000374099",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200136330A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Smith
• Maureen Lillian Smith, FNP
• Keane Olufunso Soluade, PHARMD
• Nelson Soto, CADAC II
• Tia Sparks
• St Mary Medical Center Inc
• St Mary Medical Center Inc (Home Health of St Mary Medical Center)
• St Mary Medical Center Inc
• St Mary Medical Center Inc (St Mary Wound Clinic)
• St. Catherine Hospital Occupational Health @St. Mary Medical Center

• Neurological Surgery Physician in Hobart, IN
• Providers in Hobart, IN by specialty
• Neurological Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.