Advanced Spine & Joint Medical Center LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ADVANCED SPINE & JOINT MEDICAL CENTER LLC

Practice address

208 NE 3Rd Ave
Okeechobee, FL 34972-2961

Phone

(863) 763-4320

NPI assigned

Oct 23, 2019

Last updated

Aug 4, 2020By 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

Jennifer Cook, DCNPI 1881973477

Title

Owner

Phone

(863) 763-4320

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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.

• Jennifer Cook, D.C.

  • Chiropractor
  • Okeechobee, FL
  • NPI 1881973477
  Medicare reassignment NPD Authorized official
• Craig Carl Jochum, APRN, DC, D.A.C.B.N.

  • General Practice Physician
  • Stuart, FL
  • NPI 1487780433

  Multi-Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596499200000",
    "number": "1972146868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 NE 3RD AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 NE 3RD AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722961",
            "telephone_number": "863-763-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SPINE & JOINT MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-23",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-763-4320",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Okeechobee",
            "affiliation": "N",
            "address_1": "208 NE 3rd Ave",
            "city": "Okeechobee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349722961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Adnan Shariff DPM PLLC
• Adnan Shariff DPM PLLC
• Adnan Shariff, Inc (Florida Foot Specialist)
• Khalil M Afsh, M.D.
• Angela Garcia Aguirre
• Ahmed Akhtar MD LLC
• Farhan Ahmed, DMD
• Hammad Ahmed, MD

• General Practice Physician in Okeechobee, FL
• Providers in Okeechobee, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.