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NEUROSPINECARE INC. NPI 1790743540


NPI Information

NPI: 1790743540
Provider Name: NEUROSPINECARE, INC.
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
5319 HOAG DR
SUITE 100
SHEFFIELD VILLAGE, OH
ZIP 44035
Phone: (440) 930-6015
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NEUROSPINECARE, INC. is an interventional pain medicine pain medicine in Sheffield Village, OH. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. NEUROSPINECARE, INC. NPI is 1790743540. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5319 HOAG DR
SUITE 100
SHEFFIELD VILLAGE, OH
ZIP 44035-494
Phone: (440) 930-6015
Fax: (440) 930-6094

The provider's authorized official is Mario M Sertich .
The authorized official title is President and has the following contact phone number (440) 930-6015.

The enumeration date for this NPI number is 5/2/2006 and was last updated on 2/11/2021.


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
1207T00000XNeurological SurgeryNo
2208VP0014XPain MedicineInterventional Pain MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10239030MEDICAIDOHIO

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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