USA Spine LLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

USA SPINE LLC

Practice address

300 State St E Ste 222
Oldsmar, FL 34677-3711

Phone

(813) 855-8400

Fax

(813) 855-9200

NPI assigned

May 29, 2015

Organization subpart

No

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

Authorized official

Name

Colleen S Maxcy, MDNPI 1750529483

Title

MD

Phone

(813) 855-8400

Specialties & licenses 2

Addresses

Tax ID family

USA Spine LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• USA Spine LLC

  • Physical Medicine & Rehabilitation Physician
  • Oldsmar, FL
  • NPI 1417351040
  NPD tax ID

Practitioners 1

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

• Colleen S Maxcy, MD

  • Physical Medicine & Rehabilitation Physician
  • Tampa, FL
  • NPI 1750529483
  NPD Authorized official

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1891174355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STATE ST E STE 222",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346773711",
            "telephone_number": "813-855-8400",
            "fax_number": "813-855-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STATE ST E STE 222",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346773711",
            "telephone_number": "813-855-8400",
            "fax_number": "813-855-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 S Habana Ave Ste 270",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336094198",
            "country_code": "US",
            "telephone_number": "813-855-8400",
            "fax_number": "813-855-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "USA SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-29",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "MAXCY",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "813-855-8400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Tubolino, MS, CCC-SLP
• Michael Brian Turner, D.C.
• Ultra Diagnostic
• Ultra Diagnostic Imaging, Inc
• USA Spine LLC
• Tiffany Valby
• Jennifer Saum Vest, LDO
• Deborah Joann Viano, APRN
• Victoria ABA Solution Corp
• Gina Vines, APRN

• All providers in Oldsmar, FL
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.