SPINAL CONCEPTS, LLC
NPI 1124515572
Psychiatry & Neurology - Clinical Neurophysiology in Fort Wayne, IN

Active since April 20, 2018
301 W JEFFERSON BLVD STE 200, FORT WAYNE, IN 46802(210) 598-4277 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2022, Apr 28, 2021, Apr 20, 2018 (3 updates tracked since 2018).

About Spinal Concepts, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPINAL CONCEPTS, LLC (NPI 1124515572) is a healthcare organization registered as a clinical neurophysiology in Fort Wayne, Indiana and active in the NPI registry since April 2018. The organization lists Roxanna Laroque, Director Of Client Experience, as its authorized official.

NPPES Registry Identity

NPI1124515572
Entity TypeOrganization
Primary Taxonomy2084N0600X
Legal Business NameSPINAL CONCEPTS, LLC
Location Address301 W JEFFERSON BLVD STE 200Fort Wayne, IN 46802-3043
Mailing Address1141 N Loop 1604 E #105-612San Antonio, TX 78232 · (260) 203-0035
Organization SubpartNo
Authorized OfficialRoxanna LaroqueDirector Of Client Experience · (210) 598-2801
Enumeration DateApril 20, 2018
Last NPPES UpdateJuly 7, 20223 updates tracked since enumeration
NPPES CertifiedJuly 7, 2022
NPI 1124515572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychiatry & Neurology · Clinical NeurophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0600X
Definition
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
Also ListedElectrodiagnostic MedicineTaxonomy 204R00000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
301 W JEFFERSON BLVD STE 200, Fort Wayne, IN 46802

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spinal Concepts, LLC's NPI number?

The NPI number for Spinal Concepts, LLC is 1124515572. It was assigned to this organization in the NPPES registry on April 20, 2018.

Where is Spinal Concepts, LLC located?

Spinal Concepts, LLC is located at 301 W Jefferson Blvd Ste 200, Fort Wayne, IN 46802. The listed phone number is (210) 598-4277.

What is Spinal Concepts, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Clinical Neurophysiology, with taxonomy code 2084N0600X.

When was this NPI record last updated?

The NPPES record for Spinal Concepts, LLC was last updated on July 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.