Spine, PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

4301088960 Issued in MI

Legal business name

SPINE, PLLC

Practice address

555 Barclay Cir Ste 140
Rochester Hills, MI 48307-4587

Phone

(248) 566-3313

Fax

(248) 566-3316

NPI assigned

Jul 24, 2007

Organization subpart

No

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

Authorized official

Name

Jeffrey K Wingate, MD

Title

President

Phone

(248) 228-0054

Specialties & licenses 1

Addresses

Other names 1

• Jeffrey K. Wingate, MD Former legal business name

Locations

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1134329493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 BOWERS ST UNIT 2710",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480127106",
            "telephone_number": "248-566-3313",
            "fax_number": "248-566-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 BARCLAY CIR STE 140",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074587",
            "telephone_number": "248-566-3313",
            "fax_number": "248-566-3316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28295 Schoenherr Rd",
            "address_2": "Ste C",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480884300",
            "country_code": "US",
            "telephone_number": "248-228-0054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2151 E 14 Mile Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "MI",
            "postal_code": "480097260",
            "country_code": "US",
            "telephone_number": "248-566-3313",
            "fax_number": "248-566-3316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "WINGATE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-228-0054",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301088960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeffrey K. Wingate, MD",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Jeffrey K. Wingate, MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Orthopaedic Surgery Physician in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Orthopaedic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.