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ADVANCED MICROSURGERY OF THE SPINE P.A. NPI 1861542953


NPI Information

NPI: 1861542953
Provider Name: ADVANCED MICROSURGERY OF THE SPINE, P.A.
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
1341 W. MOCKINGBIRD LN
MOCKINGBIRD TOWERS, SUITE 710E
DALLAS, TX
ZIP 75247
Phone: (214) 217-7520
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ADVANCED MICROSURGERY OF THE SPINE, P.A. is an orthopaedic surgery in Dallas, TX. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. ADVANCED MICROSURGERY OF THE SPINE, P.A. NPI is 1861542953. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1341 W. MOCKINGBIRD LN
MOCKINGBIRD TOWERS, SUITE 710E
DALLAS, TX
ZIP 75247-913
Phone: (214) 217-7520
Fax: (214) 217-7530

The provider's authorized official is George W. Wharton .
The authorized official title is President and has the following contact phone number (214) 217-7520.

The enumeration date for this NPI number is 1/11/2007 and was last updated on 10/7/2008.


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
1174400000XSpecialistF6344TEXASNo
2207X00000XOrthopaedic SurgeryF6344TEXASYes

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
185430B/8410J2MEDICARE PINTEXAS
2C23366MEDICARE UPINTEXAS
300MT02MEDICARE ID-TYPE UNSPECIFIEDTEXAS
4094847301MEDICAIDTEXAS
5137748302MEDICAIDTEXAS
6DC0230OTHERTEXASRR MEDICARE

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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