Organization Active NPI

Strenge Spine Center, PLLC

  • Orthopaedic Surgery of the Spine Physician
  • Paducah, KY
National Provider Identifier
1972296440
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
STRENGE SPINE CENTER, PLLC
Practice address
2603 Kentucky Ave Ste 102
Paducah, KY 42003-3815
Phone
(270) 228-3973
Fax
(270) 359-5046
NPI assigned
May 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Authorized official

Name
Becky Vinson
Title
Office Manager
Phone
(270) 519-8200

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X Primary
Durable Medical Equipment & Medical Supplies 332B00000X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

2603 Kentucky Ave Ste 102
Paducah, KY 42003-3815

Mailing address

2603 Kentucky Ave Ste 102
Paducah, KY 42003-3815
Phone (270) 228-3973

Other names 1

  • Strenge Spine Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20230816001804 KY Part B Supplier - Clinic/Group Practice 1052773488 Receives reassigned benefits from 4 practitioners
Practice locations: Paducah, KY
O20240823001511 IL Part B Supplier - Clinic/Group Practice 1052773488 Receives reassigned benefits from 4 practitioners
Practice locations: Metropolis, IL
O20240911002104 KY DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1052773488 Practice locations: Paducah, KY

National Provider Directory

National Provider Directory

Locations

2603 Kentucky Ave
Ste 102
Paducah, KY 42003
Phone (270) 228-3973

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1972296440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 KENTUCKY AVE STE 102",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033815",
            "telephone_number": "270-228-3973",
            "fax_number": "270-359-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 KENTUCKY AVE STE 102",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033815",
            "telephone_number": "270-228-3973",
            "fax_number": "270-359-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRENGE SPINE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "VINSON",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "270-519-8200"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Strenge Spine Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Strenge Spine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.