Organization Active NPI

Spine Specialists of America LLC

Doing business as Spine Specialists Network

  • Interventional Pain Medicine Physician
  • Tampa, FL
National Provider Identifier
1881022903
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME85743 Issued in FL
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

Updated by the provider on Oct 29, 2013

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)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X ME54499 FL
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X ME85743 FL Primary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.