OrganizationActive
Advanced Spine Endoscopy and Pain Institute
NPI 1326583006 · Orthopaedic Surgery of the Spine Physician · Frederick, MD
Provider details
- NPI number
- 1326583006
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery of the Spine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Crystal Gonzalez, Manager(240) 367-9601
- License
- D0055038 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
1003 W 7th St Ste 503
Frederick, MD 21701-8512
Phone: (240) 367-9601
Fax: (301) 663-5747
Street-level locationGet directions
Mailing address
1003 W 7th St Ste 503
Frederick, MD 21701-8512
Other names (DBA / former)
- Doing business as
- Sky Spine Endoscopy Institute
Additional practice locations (1)
- 20528 Boland Farm Rd Ste 202Germantown, MD 20876-4038Phone: (240) 367-9601Fax: (301) 663-5747
Registry dates
- Enumerated
- 2017-01-04
- Last updated
- 2020-09-28
- Certified
- 2020-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.