ADVANCED SPINE AND PAIN CENTERS, INC. - NPI NUMBER 1619219433

Summary

Provider Name: ADVANCED SPINE AND PAIN CENTERS, INC.

NPI Number: 1619219433

Clasification: Clinic/Center (261QP3300X)

Specialization: Pain

Address:
9800 BAPTIST HEALTH DR
SUITE 660
LITTLE ROCK, AR
ZIP 72205

Phone Number: (501) 219-1114



Detailed Information

ADVANCED SPINE AND PAIN CENTERS, INC. is a pain clinic/center in Little Rock, AR. The assigned NPI number for this provider is 1619219433 and is registered as an organization entity type.

The provider's business address is:

9800 BAPTIST HEALTH DR
SUITE 660
LITTLE ROCK, AR
ZIP 72205-229
Phone: (501) 219-1114
Fax: (501) 219-1115

The provider's authorized official is Majid Saleem .
The authorized official title is Physician/owner and has the following contact phone number (501) 219-1114.

The enumeration date for this NPI number is 3/19/2013 and was last updated on 8/16/2013.

Map - Location of Practice

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 261QP3300X Clinic/Center Pain Yes

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1619219433 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name ADVANCED SPINE AND PAIN CENTERS, INC. The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider First Line Business Practice Location Address 9800 BAPTIST HEALTH DR The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
6 Provider Second Line Business Practice Location Address SUITE 660 The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
7 Provider Business Practice Location Address City Name LITTLE ROCK The city name in the location address of the provider being identified.
8 Provider Business Practice Location Address State Name AR The State code in the location of the provider being identified.
9 Provider Business Practice Location Address Postal Code 722056229 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
10 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
11 Provider Business Practice Location Address Telephone Number 5012191114 The telephone number associated with the location address of the provider being identified.
12 Provider Business Practice Location Address Fax Number 5012191115 The fax number associated with the location address of the provider being identified.
13 Provider Enumeration Date 3/19/2013 The date the provider was assigned a unique identifier (assigned an NPI).
14 Last Update Date 8/16/2013 The date that a record was last updated or changed.
15 Authorized Official Last Name SALEEM The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
16 Authorized Official First Name MAJID The first name of the authorized official.
17 Authorized Official Title or Position PHYSICIAN/OWNER The title or position of the authorized official.
18 Authorized Official Telephone Number 5012191114 The 10-position telephone number of the authorized official.
19 Healthcare Provider Taxonomy Code 1 261QP3300X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Is Organization Subpart N
22 Authorized Official Name Prefix Text DR.
23 Authorized Official Credential Text M.D.

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This page was last updated on: 4/19/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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