Premier Neurospine Institute, LLC
NPI 1619520616ActiveOrganization· Neurological Surgery· St Petersburg, FL
Neurological Surgery in St Petersburg, Florida, registered in NPPES in July 2019. The authorized official on file is Christoper J. Koebbe, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1619520616 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 18, 2019 |
| Last updated in NPPES | Mar 10, 2022 |
| Certified by provider | Mar 10, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Neurological Surgery Primary | 207T00000X | — | — |
| Anesthesiology, Pain Medicine | 207LP2900X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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