Salus Orthopedic & Spine LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

OS00007123 Issued in FL

Legal business name

SALUS ORTHOPEDIC & SPINE LLC

Practice address

8191 College Pkwy
Suite-205
Fort Myers, FL 33919-5190

Phone

(239) 603-6212

Fax

(877) 711-7411

NPI assigned

Jul 16, 2014

Last updated

Jul 16, 2014By 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

Dr. George Petryk, D.CNPI 1477551430

Title

Chiropractic Neurologist

Phone

(239) 560-6764

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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.

• George S Petryk, DC,DACNB,FACFN,FABES

  • Neurology Chiropractor
  • Cumming, GA
  • NPI 1477551430
  NPD (past) Authorized official

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1992112577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15880 SUMMERLIN RD",
            "address_2": "SUITE-300 PMB 106",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339089612",
            "telephone_number": "239-603-6212",
            "fax_number": "877-711-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8191 COLLEGE PKWY",
            "address_2": "SUITE-205",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195190",
            "telephone_number": "239-603-6212",
            "fax_number": "877-711-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALUS ORTHOPEDIC & SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-16",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "PETRYK",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CHIROPRACTIC NEUROLOGIST",
        "authorized_official_telephone_number": "239-560-6764",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "FL",
            "license": "CH8431",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS00007123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emad Salman, M.D.
• Soha Salman
• Mary Beth Salmonsen, D.O.
• Melissa Salomon, LPN
• Mark Danniel Javier Salud, PT, DPT
• Saluscare, Inc.
• Tami Salvaggio, L.M.T.
• Martina Salvatierra
• Yanet Leonor Sam Soler
• Sam Therapy Services Corp

• Surgery Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.