Provider Demographics
NPI:1295492171
Name:SPINEMED SPECIALISTS, L.C.
Entity type:Organization
Organization Name:SPINEMED SPECIALISTS, L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIMPONG
Authorized Official - Suffix:JR
Authorized Official - Credentials:DO
Authorized Official - Phone:316-733-9393
Mailing Address - Street 1:825 N HILLSIDE ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-4937
Mailing Address - Country:US
Mailing Address - Phone:316-733-9393
Mailing Address - Fax:
Practice Address - Street 1:825 N HILLSIDE ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-4937
Practice Address - Country:US
Practice Address - Phone:316-733-9393
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-26
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty