Spinal Care Pain Associates P C

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

SPINAL CARE PAIN ASSOCIATES P C

Practice address

2410 S Broad St
3Rd FLR
Phila, PA 19145-4418

Phone

(215) 462-6600

Fax

(215) 462-2650

NPI assigned

Dec 20, 2006

Last updated

Aug 22, 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

Ms. Deborah Weiss, MBA MS

Title

Practice Administrator

Phone

(215) 462-6600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SPINAL CARE PAIN CRNA Other name

Tax ID family

Spinal Care Pain Associates P C2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Spinal Care Pain Associates, P.C.

  • Interventional Pain Medicine Physician
  • Philadelphia, PA
  • NPI 1245306489
  NPD tax ID

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.

• Glenn Miller, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Philadelphia, PA
  • NPI 1174697346
  NPD
• Robert Keith Moser, PA-C

  • Physician Assistant
  • Philadelphia, PA
  • NPI 1689993339
  NPD

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982768362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 S BROAD ST",
            "address_2": "3RD FLR",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191454418",
            "telephone_number": "215-462-6600",
            "fax_number": "215-462-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 S BROAD ST",
            "address_2": "3RD FLR",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191454418",
            "telephone_number": "215-462-6600",
            "fax_number": "215-462-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL CARE PAIN ASSOCIATES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "215-462-6600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA MS"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL IBC PRODUCTS",
            "identifier": "2133384000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPINAL CARE PAIN CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• South Phila PT Assoc (Pennsport West)
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• David Spilkia, DMD
• Spinal Care Management LP (Philadelphia Spinal Care Institute)
• Andrea Spivack, MA, RD, LDN
• Michael J Sponberg, O,D.
• Marquita Spraggans
• Spring Chiropractic
• Spring of Life Home Care

• Certified Registered Nurse Anesthetist in Phila, PA
• Providers in Phila, PA by specialty
• Certified Registered Nurse Anesthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.