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ADVANCED SPINE JOINT AND WELLNESS CENTER NPI 1881068427


NPI Information

NPI: 1881068427
Provider Name: ADVANCED SPINE JOINT AND WELLNESS CENTER
Classification: Physical Medicine & Rehabilitation - 2081N0008X
Entity Type: Organization

Specialization: Neuromuscular Medicine

Address:
3591 RESERVE COMMONS DR
SUITE 100
MEDINA, OH
ZIP 44256
Phone: (330) 721-6504
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ADVANCED SPINE JOINT AND WELLNESS CENTER is a neuromuscular medicine physical medicine rehabilitation in Medina, OH. The provider is a physician who specializes in neuromuscular medicine possesses specialized knowledge in the science, clinical evaluation and management of these disorders. This encompasses the knowledge of the pathology, diagnosis and treatment of these disorders at a level that is significantly beyond the training and knowledge expected of a general neurologist, child neurologist or physiatrist. ADVANCED SPINE JOINT AND WELLNESS CENTER NPI is 1881068427. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3591 RESERVE COMMONS DR
SUITE 100
MEDINA, OH
ZIP 44256-334
Phone: (330) 721-6504
Fax: (330) 721-6508

The provider's authorized official is Troy Naftzger .
The authorized official title is Owner and has the following contact phone number (330) 721-6504.

The enumeration date for this NPI number is 11/19/2015 and was last updated on 11/19/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081N0008XPhysical Medicine & RehabilitationNeuromuscular MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H211210MEDICARE PINOHIO
27411320001MEDICARE NSCOHIO
30085605MEDICAIDOHIO

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: 4/28/2024

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