The Spine Center, S.C

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

THE SPINE CENTER, S.C

Practice address

1875 Dempster St
Ste 425
Park Ridge, IL 60068-1129

Phone

(847) 698-9330

Fax

(847) 698-1429

NPI assigned

Jun 23, 2005

Organization subpart

No

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

Authorized official

Name

Dr. David Spencer, M.D.NPI 1275678716

Title

President

Phone

(847) 698-9330

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Lutheran General Spine Center, S.C Former legal business name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Interoperability endpoints

• Direct secure messaging: stevenfineberg@spinecent.allscriptsdirect.net
• Direct secure messaging: christopherbergin@spinecent.allscriptsdirect.net
• Direct secure messaging: davidspencer@spinecent.allscriptsdirect.net
• Direct secure messaging: avibernstein@spinecent.allscriptsdirect.net

Practitioners 2

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

• David Spencer, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Park Ridge, IL
  • NPI 1275678716
  Medicare reassignment Care Compare group NPD Authorized official
• Avi Bernstein, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Park Ridge, IL
  • NPI 1740325927
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1952307092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 DEMPSTER ST",
            "address_2": "STE 425",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681129",
            "telephone_number": "847-698-9330",
            "fax_number": "847-698-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 DEMPSTER ST",
            "address_2": "STE 425",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681129",
            "telephone_number": "847-698-9330",
            "fax_number": "847-698-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPINE CENTER, S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2022-07-21",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-698-9330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CJ0089",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lutheran General Spine Center, S.C",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• The Daily Grind Therapy
• The Josselyn Center
• The Juniper Center PC (The Center for Relationship Health Margo M Jacquot Psyd CSADC)
• The Mindfuol Method, PLLC
• The Perissos Center
• The Youth Campus
• Patricia Theel
• Thekey of Illinois, LLC
• Thekey of Illinois, LLC
• Anne Marie Thibault, MOT, OTR/L

• Orthopaedic Surgery Physician in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Orthopaedic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.