Active NPI
Spine Specialists of America LLC
Doing business as Spine Specialists Network
- Interventional Pain Medicine Physician
- Tampa, FL
National Provider Identifier
1881022903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- ME85743
- Legal business name
- SPINE SPECIALISTS OF AMERICA LLC
- Doing business as
- Spine Specialists Network
- Practice address
- 13035 W Linebaugh Ave Ste 101F
Tampa, FL 33626-4481 - Phone
- (727) 474-9729
- Fax
- (727) 474-9947
- NPI assigned
- Oct 29, 2013
- 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
- Eric K Groteke, DC
- Title
- Member
- Phone
- (727) 474-9729
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | ME54499 | FL | |
| Interventional Pain Medicine Physician | 208VP0014X | ME85743 | FL | Primary |
| Interventional Pain Medicine Physician | 208VP0014X | ME115987 | FL |
Addresses
Primary practice location
13035 W Linebaugh Ave Ste 101F
Tampa, FL 33626-4481
Mailing address
13035 W Linebaugh Ave Ste 101F
Tampa, FL 33626-4481
Phone (727) 474-9729
Other names 1
- Spine Specialists Network
National Provider Directory
National Provider DirectoryLocations
13035 W Linebaugh Ave
Ste 101F
Westchase, FL 33626
Phone (727) 474-9729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383004800000",
"number": "1881022903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13035 W LINEBAUGH AVE STE 101F",
"city": "TAMPA",
"state": "FL",
"postal_code": "336264481",
"telephone_number": "727-474-9729",
"fax_number": "727-474-9947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13035 W LINEBAUGH AVE STE 101F",
"city": "TAMPA",
"state": "FL",
"postal_code": "336264481",
"telephone_number": "727-474-9729",
"fax_number": "727-474-9947"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPINE SPECIALISTS OF AMERICA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-29",
"last_updated": "2013-10-29",
"status": "A",
"authorized_official_last_name": "GROTEKE",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "727-474-9729",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "FL",
"license": "ME54499",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "FL",
"license": "ME85743",
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "FL",
"license": "ME115987",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Spine Specialists Network",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.