NPIMap

Organization Active NPI

Neurosurgery and Spine Care PLLC

Doing business as Enhance Center for Interventional Spine and Sports

  • Durable Medical Equipment & Medical Supplies
  • Clinton Township, MI
National Provider Identifier
1063386936
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NEUROSURGERY AND SPINE CARE PLLC
Doing business as
Enhance Center for Interventional Spine and Sports
Practice address
42645 Garfield Rd Ste 103
Clinton Township, MI 48038-5022
Phone
(586) 286-7246
Fax
(586) 329-4757
NPI assigned
Oct 2, 2025
Last updated
Oct 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Authorized official

Name
Hazem EltahawyNPI 1255378253
Title
Owner/MD
Phone
(248) 480-5424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

42645 Garfield Rd Ste 103
Clinton Township, MI 48038-5022

Mailing address

34020 7 Mile Rd Ste 101
Livonia, MI 48152-3093
Phone (248) 516-5016

Other names 1

  • Enhance Center for Interventional Spine and Sports Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260102002029 MI DME Supplier - Multi-Specialty - Physician 3870907504 Practice locations: Clinton Township, MI

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Neurosurgery Spine PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

31500 Telegraph Rd
Ste 205
Bingham Farms, MI 48025
Phone (248) 593-9933

42645 Garfield Rd
Ste 103
Clinton Twp, MI 48038
Phone (586) 286-0050

261 Mack Ave
Detroit, MI 48201
Phone (313) 745-1100

37669 Pembroke Ave
Unit 116
Livonia, MI 48152
Phone (248) 480-5424

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1759363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1063386936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34020 7 MILE RD STE 101",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523093",
            "telephone_number": "248-516-5016",
            "fax_number": "248-516-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42645 GARFIELD RD STE 103",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385022",
            "telephone_number": "586-286-7246",
            "fax_number": "586-329-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSURGERY AND SPINE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-02",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "ELTAHAWY",
        "authorized_official_first_name": "HAZEM",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "248-480-5424"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enhance Center for Interventional Spine and Sports",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.