ADVANCED SPINE INSTITUTE LLC NPI 1396305348

NPI Information

  • NPI: 1396305348
  • Provider Name: ADVANCED SPINE INSTITUTE LLC
  • Classification: Orthopaedic Surgery - 207XS0117X
  • Specialization: Orthopaedic Surgery of the Spine
  • Entity Type: Organization
  • Address: 3009 N BALLAS RD STE 320A
    SAINT LOUIS, MO
    ZIP 63131
  • Phone: (314) 991-7707

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NPI Details

ADVANCED SPINE INSTITUTE LLC is an orthopaedic surgery of the spine orthopaedic surgery in Saint Louis, MO. 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. ADVANCED SPINE INSTITUTE LLC NPI is 1396305348. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3009 N BALLAS RD STE 320A
SAINT LOUIS, MO
ZIP 63131-324
Phone: (314) 991-7707
Fax: (314) 432-2564

The provider's authorized official is Lydia Lynn Thomas .
The authorized official title is Billing Director and has the following contact phone number (314) 991-7707.

The enumeration date for this NPI number is 6/20/2019 and was last updated on 6/20/2019.

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

What is NPI?

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This page was last updated on: 3/30/2025

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