Active NPI
Minimally Invasive Spine Institute, PLLC
- Interventional Pain Medicine Physician
- Arlington, VA
National Provider Identifier
1962664169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | |||
| Pain Medicine Physician | 208VP0000X | |||
| Interventional Pain Medicine Physician | 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 DirectoryLocations
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.