Vertrae, Inc.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

VERTRAE, INC.

Practice address

4501 Lyons Rd
Miamisburg, OH 45342-6444

Phone

(844) 255-2225

Fax

(833) 314-0504

NPI assigned

Sep 11, 2020

Organization subpart

No

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

Authorized official

Name

Kamal Woods, MDNPI 1871706473

Title

Owner

Phone

(909) 499-9062

Specialties & licenses 3

Addresses

Other names 1

• Vertrae Doing business as

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Vertrae Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Miamisburg, OH
  • NPI 1831881135

  Member Of

  NPD member

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22702/brand/1/csg/1/fhir/r4

Practitioners 3

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

• Kamal Ronald Woods, M.D.

  • Neurological Surgery Physician
  • Miamisburg, OH
  • NPI 1871706473
  Medicare reassignment Care Compare group NPD Authorized official
• Kristofer Michael Wilson, DPT

  • Physical Therapist
  • Springboro, OH
  • NPI 1518303361
  Medicare reassignment Care Compare group NPD
• Jennifer E Leibold, PA-C

  • Physician Assistant
  • Dayton, OH
  • NPI 1962710103
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685318400000",
    "number": "1972118420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 LYONS RD",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453426444",
            "telephone_number": "844-255-2225",
            "fax_number": "833-314-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 LYONS RD",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453426444",
            "telephone_number": "844-255-2225",
            "fax_number": "833-314-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERTRAE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-11",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-29",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "KAMAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-499-9062",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vertrae",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vertrae",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deeana Vanostran
• Cherise Ann Varner, FAMILY NP-C
• Alice Maria Varughese, MD
• Anna L. Verschoore, MSW, LISW
• Vertrae Surgery Center, LLC
• Hannah Elizabeth Village, MT-BC, RBT
• Robert S Vincent
• Virtus Ohio Pharmacy LLC
• Sara Vonweller, RBT
• Vosler Dental

• Neurological Surgery Physician in Miamisburg, OH
• Providers in Miamisburg, OH by specialty
• Neurological Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.