Ispine PLLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

M5448 Issued in TX

Legal business name

ISPINE PLLC

Doing business as

Ispine

Practice address

23077 Greenfield Road
Suite 280
Southfield, MI 48075

Phone

(248) 996-8714

Fax

(248) 595-8047

NPI assigned

Jun 10, 2009

Last updated

Sep 20, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

ISPINE PLLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Stefan George Pribil, MD

Title

Medical Director

Phone

(832) 260-6279

Specialties & licenses 3

Addresses

Other names 1

• ISPINE Doing business as

Part of

Ispine PLLC

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1043446537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 COMMERCE PARK DR.",
            "address_2": "STE#2003",
            "city": "ALTAMONTE , SPRINGS",
            "state": "FL",
            "postal_code": "32714",
            "telephone_number": "407-357-0635",
            "fax_number": "407-483-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD ROAD",
            "address_2": "SUITE 280",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "248-996-8714",
            "fax_number": "248-595-8047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16100 19 Mile Rd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480381148",
            "country_code": "US",
            "telephone_number": "800-538-8685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ISPINE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ISPINE PLLC",
        "enumeration_date": "2009-06-10",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "PRIBIL",
        "authorized_official_first_name": "STEFAN",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "832-260-6279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME97619",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "4301111900",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "M5448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ISPINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ziyad T Iskenderian, M.D.
• Houssein A Ismael
• Ismail B. Sendi, MD, PC
• Ismail B. Sendi, MD, PC (New Oakland Family Centers)
• Yousif T. Ismail, M.D
• Dina Issa
• It Works, Inc.
• Edwin Robert Itenberg, D.O.
• Erica Rochelle Iuliani, NP
• Viliana Ivanov

• Neurological Surgery Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Neurological Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.