OrganizationActive
Spineshield Neuromonitoring LLC
NPI 1205721818 · Electrodiagnostic Medicine Physician · Fort Worth, TX
Provider details
- NPI number
- 1205721818
- Entity type
- Organization
- Primary specialty
- Electrodiagnostic Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gina Sullivan, Practice Administrator(903) 259-0550
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3301 Hamilton Ave Ste 101
Fort Worth, TX 76107-1847
Phone: (817) 529-8488
Street-level locationGet directions
Mailing address
4455 Camp Bowie Blvd # 114-67
Fort Worth, TX 76107-3826
Registry dates
- Enumerated
- 2025-06-12
- Last updated
- 2025-06-12
- Certified
- 2025-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.