AXIS SPINE AND ORTHOPEDICS (MITAS LLC) NPI 1659967917

Orthopaedic Surgery in O Fallon, IL

NPI 1659967917 Organization Orthopaedic Surgery

About AXIS SPINE AND ORTHOPEDICS (MITAS LLC)

Axis Spine And Orthopedics (mitas Llc) is a provider established in O Fallon, Illinois specializing in orthopaedic surgery. The NPI number of Axis Spine And Orthopedics (mitas Llc) is 1659967917 and was assigned on December 2020. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated June 2021. Axis Spine And Orthopedics (mitas Llc) operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Axis Spine And Orthopedics. The authorized official of this NPI record is Swaz Sinha M.d. (Owner)

NPI

1659967917

Provider NameAXIS SPINE AND ORTHOPEDICS (MITAS LLC)
Provider Location Address775 SUNSET BLVD STE A O FALLON, IL 62269
Provider Mailing Address775 SUNSET BLVD STE A O FALLON, IL 62269
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameAXIS SPINE AND ORTHOPEDICS
Other Name TypeDoing Business As (3)
Enumeration Date12-21-2020
Last Update Date06-27-2021


Primary Taxonomy

Taxonomy Code207X00000X
ClassificationOrthopaedic Surgery
TypeAllopathic & Osteopathic Physicians
Taxonomy DescriptionAn orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Business Address

AXIS SPINE AND ORTHOPEDICS
775 SUNSET BLVD STE A
O FALLON, IL
ZIP 62269
Phone: (618) 713-5211

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Mailing Address

AXIS SPINE AND ORTHOPEDICS
775 SUNSET BLVD STE A
O FALLON, IL
ZIP 62269
Phone: (618) 713-5211



Authorized Official

Authorized Official Name SWAZ SINHA M.D.
Authorized Official TitleOWNER
Authorized Official Phone(618) 607-0061

Group Taxonomy


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

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
12251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicNo

Taxonomy Description: a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013163120DR. SWASTIK KUMAR SINHA M.D.
Individual
Orthopaedic Surgery775 SUNSET BLVD STE A
O FALLON, IL 62269
(618) 713-5211
1730215054MRS. POLLY BHATTACHARYYA SINHA P.T.
Individual
Physical Therapist775 SUNSET BLVD STE A
O FALLON, IL 62269
(618) 607-0061

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.