Center for Spine and Sports Medicine LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CENTER FOR SPINE AND SPORTS MEDICINE LLC

Practice address

4199 Gateway Blvd
Suite 2000
Newburgh, IN 47630-8940

Phone

(812) 476-7111

Fax

(812) 476-7117

NPI assigned

Apr 7, 2009

Last updated

Jul 25, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas S. Hastetter, MD

Title

Owner

Phone

(812) 476-7111

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• James E Jenison, MD

  • Internal Medicine Physician
  • Evansville, IN
  • NPI 1174511356
  NPD (past)

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311552000000",
    "number": "1952544926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7145 E VIRGINIA ST",
            "address_2": "SUITE 5000",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477159144",
            "telephone_number": "812-476-7111",
            "fax_number": "812-476-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4199 GATEWAY BLVD",
            "address_2": "SUITE 2000",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308940",
            "telephone_number": "812-476-7111",
            "fax_number": "812-476-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR SPINE AND SPORTS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2011-07-25",
        "status": "A",
        "authorized_official_last_name": "HASTETTER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-476-7111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla D Cash, NP
• Olivia Marie Causey
• Wayne Causey
• Marcia L Cave, MD
• Dominic C Cefali, MD
• Tanisha Mai Chamberlain
• Kaylee Kristin Chambers
• Juliette T Chambliss, PT
• Lillian Chancellor
• Amanda Grace Chandler, FNP-C

• Durable Medical Equipment & Medical Supplies in Newburgh, IN
• Providers in Newburgh, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; 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.