PREMIER SPINE GROUP S.C. NPI 1235962804

NPI Information

  • NPI: 1235962804
  • Provider Name: PREMIER SPINE GROUP, S.C.
  • Classification: Orthopaedic Surgery - 207XS0117X
  • Specialization: Orthopaedic Surgery of the Spine
  • Entity Type: Organization
  • Address: 200 DIVISION ST STE J
    STEVENS POINT, WI
    ZIP 54481
  • Phone: (715) 544-1772

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NPI Details

PREMIER SPINE GROUP, S.C. is an orthopaedic surgery of the spine orthopaedic surgery in Stevens Point, WI. 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. PREMIER SPINE GROUP, S.C. NPI is 1235962804. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

200 DIVISION ST STE J
STEVENS POINT, WI
ZIP 54481-843
Phone: (715) 544-1772
Fax: (715) 544-1774

The provider's authorized official is Todd A Fairchild .
The authorized official title is President and has the following contact phone number (715) 544-1772.

The enumeration date for this NPI number is 8/20/2024 and was last updated on 8/20/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207LP2900XAnesthesiologyPain MedicineNo
2207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineYes
32081P2900XPhysical Medicine & RehabilitationPain MedicineNo
4208600000XSurgeryNo
5208VP0000XPain MedicinePain MedicineNo

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: 11/21/2025

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