Organization Active NPI

Neurosurgical Spine Center. Inc

  • Specialist
  • Port Richey, FL
National Provider Identifier
1841235207
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NEUROSURGICAL SPINE CENTER. INC
Practice address
11906 Oak Trail Way
Port Richey, FL 34668-1037
Phone
(727) 861-2332
Fax
(727) 861-3217
NPI assigned
Jun 19, 2006
Organization subpart
Yes
Parent organization
NEUROSURGICAL SPINE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2014

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

Authorized official

Name
Dr. George D Giannakopoulos, MDNPI 1932137650
Title
Owner/President
Phone
(727) 861-2332

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

11906 Oak Trail Way
Port Richey, FL 34668-1037

Mailing address

PO Box 5849
Hudson, FL 34674-5849
Phone (727) 861-2332

Other names 1

  • Spine Center of Excellence Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040811000287 FL Part B Supplier - Clinic/Group Practice 1355313230 Receives reassigned benefits from 2 practitioners
Practice locations: Hudson, FL; Brooksville, FL

National Provider Directory

National Provider Directory
Part of
Neurosurgical Spine Cen

Locations

11341 Cortez Blvd
Brooksville, FL 34613
Phone (352) 596-2715

13910 Fivay Rd
Ste 2
Hudson, FL 34667
Phone (727) 861-2332

13910 Fivay Rd
Ste 11
Hudson, FL 34667
Phone (727) 861-2332

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1841235207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5849",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346745849",
            "telephone_number": "727-861-2332",
            "fax_number": "727-861-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11906 OAK TRAIL WAY",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346681037",
            "telephone_number": "727-861-2332",
            "fax_number": "727-861-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSURGICAL SPINE CENTER. INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEUROSURGICAL SPINE CENTER",
        "enumeration_date": "2006-06-19",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "GIANNAKOPOULOS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "727-861-2332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spine Center of Excellence",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.