Midwest Brain and Spine LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

35413 Issued in IA

Legal business name

MIDWEST BRAIN AND SPINE LLC

Practice address

3385 Dexter Court
Suite 110
Davenport, IA 52807-3461

Phone

(563) 344-8330

Fax

(563) 344-8339

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Vito Maioriello, M.D.

Title

Neurosurgeon Ceo

Phone

(563) 344-8330

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1972668952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 DEXTER COURT",
            "address_2": "SUITE 110",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073461",
            "telephone_number": "563-344-8330",
            "fax_number": "563-344-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 DEXTER COURT",
            "address_2": "SUITE 110",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073461",
            "telephone_number": "563-344-8330",
            "fax_number": "563-344-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST BRAIN AND SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "MAIORIELLO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "VITO",
        "authorized_official_title_or_position": "NEUROSURGEON CEO",
        "authorized_official_telephone_number": "563-344-8330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "IA",
            "license": "35413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurological Surgery Physician in Davenport, IA
• Providers in Davenport, IA by specialty
• Neurological Surgery Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.