Neurosurgery & Spine Care Specialists, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

M-6135 Issued in ID

Legal business name

NEUROSURGERY & SPINE CARE SPECIALISTS, PLLC

Practice address

324 5TH St
Suite 101
Lewiston, ID 83501-2408

Phone

(208) 746-5025

Fax

(208) 746-4946

NPI assigned

Apr 11, 2007

Last updated

Jun 13, 2019By 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

Donald S Soloniuk, M.D.NPI 1780620765

Title

Owner

Phone

(208) 746-5025

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in ID

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, and the practitioner matching its NPPES authorized official.

• Donald S Soloniuk, M.D.

  • Neurological Surgery Physician
  • Lewiston, ID
  • NPI 1780620765
  Medicare reassignment NPD Authorized official
• Steven K. Goodwin, M.D.

  • Neurological Surgery Physician
  • Corvallis, OR
  • NPI 1477599058
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1861615346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 974",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835010974",
            "telephone_number": "208-746-5025",
            "fax_number": "208-746-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 5TH ST",
            "address_2": "SUITE 101",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012408",
            "telephone_number": "208-746-5025",
            "fax_number": "208-746-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSURGERY & SPINE CARE SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "SOLONIUK",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-746-5025",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "ID",
            "license": "M-6135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7117922",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806652800",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8143836",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002587000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaytlin Nelson, PTA
• Sarah Nelson, CRNA
• Susan Nelson, M.ED
• Caleb H Netting, MD
• William A Neumayer, PT,OCS
• New Beginnings Counseling and Support Services
• Nez Perce County
• Glenn Nicholas Jr., D.C.
• Lauren Nichols
• Abigail Rachel Niculas, DPT

• Specialist in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.