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SPINE & MUSCULOSKELETAL CENTER PC NPI 1689872152


NPI Information

NPI: 1689872152
Provider Name: SPINE & MUSCULOSKELETAL CENTER PC

Doing Business As: SUPERIOR ORTHOPEDICS

Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Organization

Specialization: Orthopaedic Surgery of the Spine

Address:
2020 E COLUMBUS DRIVE
SUITE B
EAST CHICAGO, IN
ZIP 46312
Phone: (219) 397-8648
Get Directions

SPINE & MUSCULOSKELETAL CENTER PC is an orthopaedic surgery of the spine orthopaedic surgery in East Chicago, IN. 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. SPINE & MUSCULOSKELETAL CENTER PC NPI is 1689872152. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Superior Orthopedics.

The provider's business location address is:

2020 E COLUMBUS DRIVE
SUITE B
EAST CHICAGO, IN
ZIP 46312-078
Phone: (219) 397-8648
Fax: (219) 397-8653

The provider's authorized official is Joseph P Spott .
The authorized official title is Owner and has the following contact phone number (219) 397-8648.

The enumeration date for this NPI number is 7/6/2007 and was last updated on 11/15/2013.


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 Spine2001917INDIANAYes

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
1200184170DMEDICAIDINDIANA
27538064OTHERINDIANAAETNA
3G70151MEDICARE UPININDIANA
490001235OTHERILLINOISBCBS IL
5P00222849MEDICAIDINDIANA
6000000373304OTHERINDIANAANTHEM
7224360AMEDICARE ID-TYPE UNSPECIFIEDINDIANA
8036105846MEDICAIDILLINOIS

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: 5/5/2024

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