Organization Active NPI

Minimally Invasive Spine Institute, PLLC

  • Interventional Pain Medicine Physician
  • Arlington, VA
National Provider Identifier
1962664169
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
MINIMALLY INVASIVE SPINE INSTITUTE, PLLC
Practice address
1715 N George Mason Dr
Suite 202
Arlington, VA 22205-3609
Phone
(703) 894-2224
Fax
(703) 997-2566
NPI assigned
Jun 28, 2008
Last updated
Jun 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Mr. Zain Haider, MSBM
Title
Director
Phone
(315) 798-8737

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

1715 N George Mason Dr
Suite 202
Arlington, VA 22205-3609

Mailing address

1508 Genesee St
Utica, NY 13502-5178
Phone (315) 798-8737

National Provider Directory

National Provider Directory

Locations

2440 M St NW
Ste 507
Washington, DC 20037
Phone (202) 785-5184

1715 N George Mason Dr
Ste 202
Arlington, VA 22205
Phone (703) 522-0137

NPI Registry JSON

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

{
    "created_epoch": "1214611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1962664169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025178",
            "telephone_number": "315-798-8737",
            "fax_number": "315-732-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 N GEORGE MASON DR",
            "address_2": "SUITE 202",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053609",
            "telephone_number": "703-894-2224",
            "fax_number": "703-997-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINIMALLY INVASIVE SPINE INSTITUTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-28",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "HAIDER",
        "authorized_official_first_name": "ZAIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "315-798-8737",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSBM"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.