Organization Name: | PANACEA BRAIN AND SPINE, LLC |
NPI Number: | 1457622763 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHAD HARTLEY (OWNER) |
Mailing Address: | 297 Lake Havasu Ave S Lake Havasu City |
State: | AZ US |
Postal Code: | 864036526 |
Phone Number: | 9284532211 |
Fax Number: | 9284532213 |
NPI Enumeration Date: | 01/18/2012 |
NPI Last Update Date: | 05/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207T00000X |
License Number: | 46605 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neurological Surgery |
Taxonomy Specialization: | |
Taxonomy Definition: | A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |