Organization Active NPI

Spinal Centers Inc

  • Independent Medical Examiner Chiropractor
  • Pensacola, FL
National Provider Identifier
1881827665
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
License
CH3678 Issued in FL
Legal business name
SPINAL CENTERS INC
Practice address
2921 W Michigan Ave
Pensacola, FL 32526-1845
Phone
(850) 434-8880
Fax
(850) 434-2665
NPI assigned
Aug 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Authorized official

Name
Dr. Marvin L Woodruff, DC
Title
Owner
Phone
(850) 434-8880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NI0013X CH3678 FL Primary

Addresses

Primary practice location

2921 W Michigan Ave
Pensacola, FL 32526-1845

Mailing address

2921 W Michigan Ave
Pensacola, FL 32526-1845
Phone (850) 434-8880

Other names 1

  • M L Woodruff Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131213000045 FL Part B Supplier - Clinic/Group Practice 3779710926 Receives reassigned benefits from 1 practitioner
Practice locations: Pensacola, FL

National Provider Directory

National Provider Directory

Locations

24 E Nine Mile Rd
Pensacola, FL 32534
Phone (850) 479-1333

2921 W Michigan Ave
Pensacola, FL 32526
Phone (850) 434-8880

Practitioners & affiliated clinicians

Practitioners 2

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": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1881827665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 W MICHIGAN AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325261845",
            "telephone_number": "850-434-8880",
            "fax_number": "850-434-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 W MICHIGAN AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325261845",
            "telephone_number": "850-434-8880",
            "fax_number": "850-434-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "WOODRUFF",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-434-8880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "FL",
            "license": "CH3678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M L Woodruff",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.