SPINE SURGERY SERVICE, PLLC
NPI 1902386477
Physician Assistant - Surgical in Addison, TX

Active since August 15, 2018
17051 DALLAS PKWY STE 400, ADDISON, TX 75001(210) 598-4262 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 7, 2023, Feb 20, 2020, Aug 15, 2018 (3 updates tracked since 2018).

About Spine Surgery Service, Pllc NPPES

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

SPINE SURGERY SERVICE, PLLC (NPI 1902386477) is a healthcare organization registered as a surgical in Addison, Texas and active in the NPI registry since August 2018. The organization lists Michael Hennessy, Mbr, as its authorized official.

NPPES Registry Identity

NPI1902386477
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameSPINE SURGERY SERVICE, PLLC
Location Address17051 DALLAS PKWY STE 400Addison, TX 75001-7108
Mailing Address1141 N Loop 1604 E # 105-612San Antonio, TX 78232-1339 · (201) 598-4262
Organization SubpartNo
Authorized OfficialMichael HennessyMbr · (214) 370-3535
Enumeration DateAugust 15, 2018
Last NPPES UpdateSeptember 7, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
NPI 1902386477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
17051 DALLAS PKWY STE 400, Addison, TX 75001

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Surgical)
17051 DALLAS PKWY STE 400
ADDISON, TX 75001
Specialist
17051 DALLAS PKWY STE 400
ADDISON, TX 75001
Physical Medicine & Rehabilitation
17051 DALLAS PKWY STE 400, SUITE 400
ADDISON, TX 75001
Physician Assistant (Surgical)
17051 DALLAS PKWY STE 400
ADDISON, TX 75001
Psychiatry & Neurology (Clinical Neurophysiology)
17051 DALLAS PKWY STE 400
ADDISON, TX 75001
Physician Assistant
17051 DALLAS PKWY STE 400
ADDISON, TX 75001
Anesthesiology (Pain Medicine)
17051 DALLAS PKWY STE 400
ADDISON, TX 75001
Orthopaedic Surgery
17051 DALLAS PKWY STE 400
ADDISON, TX 75001

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 Spine Surgery Service, PLLC's NPI number?

The NPI number for Spine Surgery Service, PLLC is 1902386477. It was assigned to this organization in the NPPES registry on August 15, 2018.

Where is Spine Surgery Service, PLLC located?

Spine Surgery Service, PLLC is located at 17051 Dallas Pkwy Ste 400, Addison, TX 75001. The listed phone number is (210) 598-4262.

What is Spine Surgery Service, PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Spine Surgery Service, PLLC was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.