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Spine Care Center, LLC

NPI 1992736557ActiveOrganization· Pain Medicine, Interventional Pain Medicine· Cottonwood Heights, UT

Pain Medicine, Interventional Pain Medicine in Cottonwood Heights, Utah, registered in NPPES in July 2006. The authorized official on file is Kyle S. Matsumura, MD, Managing Member. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1992736557
StatusActive
Entity typeOrganization
NPI issuedJul 5, 2006
Last updated in NPPESAug 15, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Pain Medicine, Interventional Pain Medicine Primary208VP0014X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (UT)

Medicare sources and data years

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