Total Spine Care, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

201812204520 Issued in OH

Legal business name

TOTAL SPINE CARE, LLC

Doing business as

Laser Spine Institute, LLC

Practice address

644 Eden Park Dr
Cincinnati, OH 45202-6031

Phone

(813) 289-9613

Fax

(484) 253-1790

NPI assigned

May 15, 2018

Last updated

May 15, 2018By 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

Charles Edward Bland

Title

Lic/Cred Manager

Phone

(813) 392-7604

Specialties & licenses 1

Addresses

Other names 1

• Laser Spine Institute, LLC Doing business as

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1972093946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5332 AVION PARK DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071412",
            "telephone_number": "813-289-9613",
            "fax_number": "484-253-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 EDEN PARK DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452026031",
            "telephone_number": "813-289-9613",
            "fax_number": "484-253-1790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Allen Bradley Dr",
            "address_purpose": "LOCATION",
            "city": "Mayfield Heights",
            "state": "OH",
            "postal_code": "441246131",
            "country_code": "US",
            "telephone_number": "813-289-9613",
            "fax_number": "484-253-1790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TOTAL SPINE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A",
        "authorized_official_last_name": "BLAND",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "LIC/CRED MANAGER",
        "authorized_official_telephone_number": "813-392-7604"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OH",
            "license": "201812204520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laser Spine Institute, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health Service Clinic/Center in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Health Service Clinic/Center in Ohio

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