PREMIER SPINE CARE P.A. NPI 1376292318

NPI Information

  • NPI: 1376292318
  • Provider Name: PREMIER SPINE CARE, P.A.
  • Classification: Orthopaedic Surgery - 207XS0117X
  • Specialization: Orthopaedic Surgery of the Spine
  • Entity Type: Organization
  • Doing Business As: PREMIER SPINE CARE OVERLAND PARK
  • Address: 7840 W 165TH ST STE 280
    OVERLAND PARK, KS
    ZIP 66223
  • Phone: (913) 322-2700

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NPI Details

PREMIER SPINE CARE, P.A. is an orthopaedic surgery of the spine orthopaedic surgery in Overland Park, KS. 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 CARE, P.A. NPI is 1376292318. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Premier Spine Care Overland Park.

The provider's business location address is:

7840 W 165TH ST STE 280
OVERLAND PARK, KS
ZIP 66223-022
Phone: (913) 322-2700
Fax: (913) 322-7890

The provider's authorized official is John M Ciccarelli .
The authorized official title is Physician and has the following contact phone number (913) 322-2700.

The enumeration date for this NPI number is 3/18/2022 and was last updated on 3/18/2022.

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
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10431121OTHERKANSASSTATE LICENSE
20430147OTHERKANSASSTATE LICENSE

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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