CERVICAL SPINE CENTERS PLLC NPI 1780062133

NPI Information

  • NPI: 1780062133
  • Provider Name: CERVICAL SPINE CENTERS, PLLC
  • Classification: Orthopaedic Surgery - 207XS0117X
  • Specialization: Orthopaedic Surgery of the Spine
  • Entity Type: Organization
  • Other Name: CERVICAL SPINE CENTERS
  • Address: 20280 N 59TH AVE STE 115-345
    GLENDALE, AZ
    ZIP 85308
  • Phone: (480) 656-4220

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NPI Details

CERVICAL SPINE CENTERS, PLLC is an orthopaedic surgery of the spine orthopaedic surgery in Glendale, AZ. 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. CERVICAL SPINE CENTERS, PLLC NPI is 1780062133. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Cervical Spine Centers.

The provider's business location address is:

20280 N 59TH AVE STE 115-345
GLENDALE, AZ
ZIP 85308-850
Phone: (480) 656-4220
Fax: (480) 656-1554

The provider's authorized official is John R Ehteshami .
The authorized official title is Ceo and has the following contact phone number (480) 656-4220.

The enumeration date for this NPI number is 5/18/2015 and was last updated on 1/7/2025.

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
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine41787ARIZONAYes

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
141787OTHERARIZONAAZ MD LICENSE
2022926MEDICAIDARIZONA

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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