NOVA SPINE CENTER LLC NPI 1598454381

NPI Information

  • NPI: 1598454381
  • Provider Name: NOVA SPINE CENTER LLC
  • Classification: Orthopaedic Surgery - 207XS0117X
  • Specialization: Orthopaedic Surgery of the Spine
  • Entity Type: Organization
  • :
  • Address: 21351 GENTRY DR STE 125
    STERLING, VA
    ZIP 20166
  • Phone: (410) 599-9872

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NPI Details

NOVA SPINE CENTER LLC is an orthopaedic surgery of the spine orthopaedic surgery in Sterling, VA. 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. NOVA SPINE CENTER LLC NPI is 1598454381. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

21351 GENTRY DR STE 125
STERLING, VA
ZIP 20166-511
Phone: (410) 599-9872
Fax: (703) 683-7801

The provider's authorized official is Mark Shasti .
The authorized official title is Ceo and has the following contact phone number (410) 599-9872.

The enumeration date for this NPI number is 5/5/2023 and was last updated on 5/5/2025.

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
1207X00000XOrthopaedic SurgeryNo
2207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineYes

What is NPI?

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This page was last updated on: 11/21/2025

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