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MISSOURI SPINE INSTITUTE LLC NPI 1265686125


NPI Information

NPI: 1265686125
Provider Name: MISSOURI SPINE INSTITUTE, LLC
Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Organization

Specialization: Orthopaedic Surgery of the Spine

CLIA Number: 26D2218025

Address:
1616 SOUTHRIDGE DR
STE 202
JEFFERSON CITY, MO
ZIP 65109
Phone: (573) 635-0401
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MISSOURI SPINE INSTITUTE, LLC is an orthopaedic surgery of the spine orthopaedic surgery in Jefferson City, MO. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. MISSOURI SPINE INSTITUTE, LLC NPI is 1265686125. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1616 SOUTHRIDGE DR
STE 202
JEFFERSON CITY, MO
ZIP 65109-677
Phone: (573) 635-0401
Fax: (573) 635-6715

The provider's authorized official is John D. Spears .
The authorized official title is Owner and has the following contact phone number (573) 635-0401.

The CLIA number assigned to this NPI record is 26D2218025 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/5/2008 and was last updated on 12/1/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineLC0926793MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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