MEDICARE: SPINE WORKS SURGICAL ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AS0400X	Surgical Physician Assistant

General Provider Information

NPI Number	:	1669813523
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPINE WORKS SURGICAL ASSOCIATES

Provider Business Mailing Address
First Line	:	5566 W MAIN ST STE 210
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75033-3673
Country	:	US
Telephone Number	:	214-618-5600
Fax Number	:	214-618-7733

Provider Business Practice Location Address
First Line	:	8801 N TARRANT PKWY
Second Line	:
City	:	N RICHLAND HILLS
State	:	TX
Zip	:	76182-8461
Country	:	US
Telephone Number	:	214-618-5600
Fax Number	:	214-618-7733

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	KIM SIVARAMAN
Credential	:
Telephone Number	:	214-618-5600

Provider Enumeration Date	:	07/08/2013
Last Update Date	:	07/08/2013

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1053365304 — MR. JEFFREY B PHELPS M.D.
Practice Location Address:

8801 N TARRANT PKWY
NORTH RICHLAND HILLS, TX
76182-8461

Practice Phone: 817-616-0700
Practice Fax: 817-616-0708

1386861698 — ORTHO SPINE SURGERY INSTITUTE PA
Practice Location Address:

8801 N TARRANT PKWY
NORTH RICHLAND HILLS, TX
76182-8461

Practice Phone: 817-616-0700
Practice Fax: 817-616-0708

1104007178 — DR. JOSHUA C. HAY MD
Practice Location Address:

8801 N TARRANT PKWY
NORTH RICHLAND HILLS, TX
76182-8461

Practice Phone: 817-616-0700
Practice Fax:

1306075171 — SCOTT A. WENGER, M.D., PLLC
Practice Location Address:

8801 NORTH TARRANT PKWY
NORTH RICHLAND HILLS, TX
76182-8461

Practice Phone: 817-616-0700
Practice Fax: 817-616-0708

1821407685 — SPINE WORKS MANAGEMENT, PLLC
Practice Location Address:

8801 N TARRANT PKWY
NORTH RICHLAND HILLS, TX
76182-8461

Practice Phone: 817-616-0700
Practice Fax: 817-616-0708

Directions to “SPINE WORKS SURGICAL ASSOCIATES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.