MEDICARE: ADVANCED MICROSURGERY OF THE SPINE, P.A.

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	174400000X	Specialist	F6344	TX
2	207X00000X	Orthopaedic Surgery Physician	F6344	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	DC0230	OTHER	TX	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861542953
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED MICROSURGERY OF THE SPINE, P.A.

Provider Business Mailing Address
First Line	:	P.O. BOX 1322
Second Line	:
City	:	ADDISON
State	:	TX
Zip	:	75001-1322
Country	:	US
Telephone Number	:	972-991-9950
Fax Number	:	972-991-4026

Provider Business Practice Location Address
First Line	:	1341 W. MOCKINGBIRD LN
Second Line	:	MOCKINGBIRD TOWERS, SUITE 710E
City	:	DALLAS
State	:	TX
Zip	:	75247-6913
Country	:	US
Telephone Number	:	214-217-7520
Fax Number	:	214-217-7530

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GEORGE W. WHARTON
Credential	:	MD
Telephone Number	:	214-217-7520

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	10/07/2008

Similar Medicare Providers

1346243151 — MICHAEL C FITZPATRICK MD
Practice Location Address:

1341 W MOCKINGBIRD LN , MOCKINGBIRD TOWERS, STE 710E
DALLAS, TX
75247-6913

Practice Phone: 214-217-7520
Practice Fax: 214-217-7530

1881631315 — JOHN C. MILANI, M.D. P.A.
Practice Location Address:

1341 W MOCKINGBIRD LN , SUITE 710-E
DALLAS, TX
75247-6913

Practice Phone: 214-630-7494
Practice Fax: 214-630-2228

1104975655 — JEANELLE LEILANI KAM MD
Practice Location Address:

1341 W MOCKINGBIRD LN , SUITE 200 E
DALLAS, TX
75247-6913

Practice Phone: 214-647-9305
Practice Fax:

1548310691 — BAHAR ANBAR PA
Practice Location Address:

1341 W MOCKINGBIRD LN , MOCKINGBIRD TOWERS, STE 710E
DALLAS, TX
75247-6913

Practice Phone: 214-217-7520
Practice Fax:

1174677488 — LALA HEALTHCARE SOLUTIONS LLC
Practice Location Address:

1341 W MOCKINGBIRD LN STE 214W
DALLAS, TX
75247-6913

Practice Phone: 214-310-0610
Practice Fax: 866-740-7952

1073654661 — DR. MARCUS M STAVCHANSKY PHARM.D.
Practice Location Address:

1341 W MOCKINGBIRD LN , SUITE #400 E
DALLAS, TX
75247-6913

Practice Phone: 214-647-9312
Practice Fax:

Directions to “ADVANCED MICROSURGERY OF THE SPINE, P.A. ” 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.