Inspired Spine Health of KS, PA

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

INSPIRED SPINE HEALTH OF KS, PA

Practice address

1818 E 23Rd Ave
Hutchinson, KS 67502-1106

Phone

(620) 209-5101

Fax

(855) 430-6952

NPI assigned

Feb 15, 2023

Organization subpart

No

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

Authorized official

Name

John Siegel

Title

Ceo

Phone

(952) 405-9760

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Inspired Spine Health of KS, PA

  • Neurological Surgery Physician
  • Hutchinson, KS
  • NPI 1104539774

  8820461254

  Same PAC ID

Practitioners 1

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

• Hamid Reza Abbasi, MD

  • Neurological Surgery Physician
  • Burnsville, MN
  • NPI 1932303526
  NPD

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1942908371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 HIGHWAY 13 E STE 100",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376847",
            "telephone_number": "620-209-5101",
            "fax_number": "855-430-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 E 23RD AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021106",
            "telephone_number": "620-209-5101",
            "fax_number": "855-430-6952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRED SPINE HEALTH OF KS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "952-405-9760"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOS",
            "identifier": "2088395",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyndal Elaine Hydeman, PA-C
• Brent Richard Ide, LSCSW
• Sarina Danielle Immesote
• Amy S Inchauriga, LMFT
• Inspired Spine Health of KS, PA
• Ashley Jade Ireland, M.D.
• Stephanie Kay Isaacson, APRN
• Chad Issinghoff, MD
• Amanda L Jackson, PT
• Anthony Kory Jackson, MD

• Durable Medical Equipment & Medical Supplies in Hutchinson, KS
• Providers in Hutchinson, KS by specialty
• Durable Medical Equipment & Medical Supplies in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.