1427388511 NPI number — INSTITUTE FOR SPINAL SURGERY INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427388511 NPI number — INSTITUTE FOR SPINAL SURGERY INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
INSTITUTE FOR SPINAL SURGERY INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
DR. CHRISTIAN FRAS
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427388511
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2000 SPROUL RD
Provider Second Line Business Mailing Address:
SUITE 320
Provider Business Mailing Address City Name:
BROOMALL
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19008-3509
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-353-5079
Provider Business Mailing Address Fax Number:
484-427-8103

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2000 SPROUL RD
Provider Second Line Business Practice Location Address:
SUITE 320
Provider Business Practice Location Address City Name:
BROOMALL
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19008-3509
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-353-5079
Provider Business Practice Location Address Fax Number:
484-427-8103
Provider Enumeration Date:
01/12/2010

Additional Information

Authorized Official

Authorized Official Last Name:
FRAS
Authorized Official First Name:
CHRISTIAN
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
610-353-5079

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X , with the licence number:  MD424663 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000000308051 . This is a "UNISON" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 1427388511 . This is a "DELAWARE MEDICAL ASSISTANCE-DIAMOND STATE PARTNERS" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 1427388511 . This is a "DELAWARE PHYSICIANS CARE" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 30-0419452 . This is a "MULTIPLAN" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 30-0419452 . This is a "DELAWARE WORKER'S COMPENSATION" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 30-0419452 . This is a "DEVON" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 3774906000 . This is a "INDEPENDENCE BLUE CROSS (PERSONAL CHOICE, KHPE, FEDERAL, AMERIHEALTH)" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1427388511 . This is a "DELAWARE BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 1631494 . This is a "HIGHMARK BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 30-0419452 . This is a "FIRST HEALTH NETWORK" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 30-0419452 . This is a "CIGNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 102536817 0001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 30-0419452 . This is a "CIGNA" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 30-0419452 . This is a "MULTIPLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 30-0419452 . This is a "TRICARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 30-0419452 . This is a "DEVON HEALTH" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 30076177 . This is a "KEYSTONE MERCY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1427388511 . This is a "AETNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2522492 . This is a "HIGHMARK BLUE SHIELD" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 30-0419452 . This is a "FIRST HEALTH NETWORK" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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