NPIMap

Organization Active NPI

International Center for Advanced Spine and Orthopedic Surgery LLC

  • Medical Specialty Clinic/Center
  • Bradenton, FL
National Provider Identifier
1942498241
Registry record updated Feb 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
ME96223 Issued in FL
Legal business name
INTERNATIONAL CENTER FOR ADVANCED SPINE AND ORTHOPEDIC SURGERY LLC
Practice address
1922 53Rd Ave E Ste a
Bradenton, FL 34203-4236
Phone
(941) 753-1756
NPI assigned
Oct 11, 2007
Last updated
Feb 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2018

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

Authorized official

Name
Dr. Sajeev K Nair, MD
Title
President
Phone
(941) 465-1204

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X ME96223 FL Primary
Orthopaedic Surgery Physician 207X00000X ME96223 FL

Addresses

Primary practice location

1922 53Rd Ave E Ste a
Bradenton, FL 34203-4236

Mailing address

1922 53Rd Ave E Ste a
Bradenton, FL 34203-4236
Phone (941) 753-1756

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080213000348 FL Part B Supplier - Clinic/Group Practice 3870676992 Receives reassigned benefits from 1 practitioner
Practice locations: Bradenton, FL

National Provider Directory

National Provider Directory
Tax ID family
International Center for Advanced Spine and Orthopedic Surgery 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.

Locations

1922 53rd Ave E
Ste A
Bradenton, FL 34203
Phone (941) 465-1204

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1942498241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 53RD AVE E STE A",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342034236",
            "telephone_number": "941-753-1756",
            "fax_number": "941-201-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 53RD AVE E STE A",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342034236",
            "telephone_number": "941-753-1756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL CENTER FOR ADVANCED SPINE AND ORTHOPEDIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "NAIR",
        "authorized_official_first_name": "SAJEEV",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-465-1204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME96223",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME96223",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.