NEOSPINE PUYALLUP SPINE CENTER, LLC
NPI 1275510141
Clinic/Center - Ambulatory Surgical in Puyallup, WA

NPI Status: Active since December 30, 2005

Contact Information

1519 3RD ST SE
SUITE 102
PUYALLUP, WA
ZIP 98372
Phone: (253) 841-0705
Fax: (253) 841-4527

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 50D1018734
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 04-04-2028

About NEOSPINE PUYALLUP SPINE CENTER, LLC

This page provides the complete NPI Profile along with additional information for Neospine Puyallup Spine Center, Llc, a provider established in Puyallup, Washington operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1275510141 assigned on December 2005. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Cathie Boyd Rosa (Officer And Authorized Official)

NPI
1275510141
Provider Legal Name
NEOSPINE PUYALLUP SPINE CENTER, LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1519 3RD ST SE SUITE 102 PUYALLUP, WA 98372
Location Phone
(253) 841-0705
Location Fax
(253) 841-4527
Mailing Address
1519 3RD ST SE SUITE 102 PUYALLUP, WA 98372
Mailing Phone
(253) 841-0705
Mailing Fax
(253) 841-4527
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-30-2005
Last Update Date
04-11-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License State
WA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CATHIE BOYD ROSA

Authorized Official Title
OFFICER AND AUTHORIZED OFFICIAL
Authorized Official Phone
(253) 604-1413

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

This service was performed 84 times for 43 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint

This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.

This service was performed 33 times for 19 patients

Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc

This procedure involves fusing together the bones in the upper spine to stabilize it. A disc is removed to ease pressure on the spinal cord or nerve. This helps reduce pain and improve mobility. This is a common treatment for certain spinal conditions.

This service was performed 13 times for 13 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

This service was performed 161 times for 100 patients

Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level

This procedure involves injecting anesthetic or steroid medication into a specific nerve root in the upper or middle spine. It's performed using imaging technology for precise placement. The aim is to reduce inflammation and alleviate pain.

This service was performed 18 times for 14 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

This service was performed 157 times for 65 patients

Injection of substance into lower spine canal using imaging guidance

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

This service was performed 65 times for 51 patients

Injection of substance into middle or upper spine canal using imaging guidance

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

This service was performed 47 times for 37 patients

Injection of upper or middle spine facet joint using imaging guidance, single level

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

This service was performed 41 times for 17 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

This service was performed 95 times for 58 patients

Insertion of spinal neurostimulator electrode array through skin

This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.

This service was performed 42 times for 15 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

This service was performed 35 times for 35 patients

Release and/or relocation of hand nerve

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

This service was performed 14 times for 11 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
50D1018734
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
October 29, 2003
Certificate Expiration Date
April 04, 2028
Laboratory Director
RICHARD WOHNS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Neospine Puyallup Spine Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1275510141, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
5
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
1
Unchanged
Pos 9
4
Doubled → 8
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 5 → 10 → 1 0 → 0 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 4 + 5 + 1 + 0 + 1 + 0 + 1 + 8 + 24 = 49

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1275510141.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Anesthesiology
1519 3RD ST SE
PUYALLUP, WA 98372
Urology
1519 3RD ST SE, STE 210
PUYALLUP, WA 98372
Urology
1519 3RD ST SE, SUITE 210
PUYALLUP, WA 98372
Neurological Surgery
1519 3RD ST SE, SUITE 101
PUYALLUP, WA 98372
Internal Medicine (Hematology & Oncology)
1519 3RD ST SE, SUITE 260
PUYALLUP, WA 98372
Radiologic Technologist
1519 3RD ST SE, SUITE 103
PUYALLUP, WA 98372
Nurse Practitioner (Family)
1519 3RD ST SE, SUITE 101
PUYALLUP, WA 98372
Durable Medical Equipment & Medical Supplies
1519 3RD ST SE, SUITE 104
PUYALLUP, WA 98372
Nurse Practitioner (Family)
1519 3RD ST SE, SUITE 101
PUYALLUP, WA 98372
Surgery
1519 3RD ST SE, STE 230
PUYALLUP, WA 98372
Surgery
1519 3RD ST SE, STE 230
PUYALLUP, WA 98372
Urology
1519 3RD ST SE, STE 210
PUYALLUP, WA 98372
Physician Assistant (Surgical)
1519 3RD ST SE, SUITE 210
PUYALLUP, WA 98372
Surgery
1519 3RD ST SE, STE 230
PUYALLUP, WA 98372
Urology
1519 3RD ST SE, SUITE 210
PUYALLUP, WA 98372
Clinic/Center (Ambulatory Surgical)
1519 3RD ST SE, SUITE 240
PUYALLUP, WA 98372
Physician Assistant
1519 3RD ST SE
PUYALLUP, WA 98372
Clinic/Center (Magnetic Resonance Imaging (MRI))
1519 3RD ST SE, SUITE 103
PUYALLUP, WA 98372
Neurological Surgery
1519 3RD ST SE, SUITE 101
PUYALLUP, WA 98372

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275510141, enumerated as an "organization" on December 30, 2005.

The provider is located at 1519 3RD ST SE SUITE 102 PUYALLUP, WA 98372 and the phone number is (253) 841-0705.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska and. Please consult your insurance carrier or call the provider to verify.