Southeastern Spine Institute, Llc, NPI 1760741953
Orthopaedic Surgery of the Spine Physician in Mt Pleasant, SC, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1760741953 |
| NPI Entity Type | Organization |
| Provider Name | Southeastern Spine Institute, Llc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 1122 Chuck Dawley Blvd, Mt Pleasant, SC, US |
| Provider Mailing Address | Po Box 100523, Florence, SC, US, 295020523 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | DR. MD Donald R Johnson |
| Official Position | MEDICAL DIRECTOR |
| Phone | 843-849-1551 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Orthopaedic Surgery of the Spine Physician |
| Classification | |
| Group | |
| License State | SC |
| Description | 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. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 20093922 | SC | TRICARE | 01 |
| GP3652 | SC | MEDICAID | 05 |
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