Active NPI
Flint Neuroscience Center, PLLC
Doing business as Great Lakes Spine Center
- Neurological Surgery Physician
- Flint, MI
National Provider Identifier
1215104724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- FLINT NEUROSCIENCE CENTER, PLLC
- Doing business as
- Great Lakes Spine Center
- Practice address
- G3239 Beecher Rd
Flint, MI 48532-3616 - Phone
- (810) 733-7560
- Fax
- (810) 733-2890
- NPI assigned
- May 14, 2008
- Last updated
- Aug 14, 2013
- Organization subpart
- Yes
- Parent organization
- FLINT NEUROSCIENCE CENTER, PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hugo Lopez-Negrete, MD
- Title
- Managing Partner
- Phone
- (810) 733-7560
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | NU | Primary |
Addresses
Primary practice location
G3239 Beecher Rd
Flint, MI 48532-3616
Mailing address
Dept. CH 17809
Palatine, IL 60055-7809
Phone (810) 733-7560
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C14627 | Other | MEDICARE RAILROAD | |
| 700B511200 | Other | BCBS OF MICHIGAN |
Other names 1
- Great Lakes Spine Center
National Provider Directory
National Provider Directory- Part of
- Greater Flint MRI
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376438400000",
"number": "1215104724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT. CH 17809",
"city": "PALATINE",
"state": "IL",
"postal_code": "600557809",
"telephone_number": "810-733-7560",
"fax_number": "810-733-2890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "G3239 BEECHER RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485323616",
"telephone_number": "810-733-7560",
"fax_number": "810-733-2890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLINT NEUROSCIENCE CENTER, PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FLINT NEUROSCIENCE CENTER, PLLC",
"enumeration_date": "2008-05-14",
"last_updated": "2013-08-14",
"status": "A",
"authorized_official_last_name": "LOPEZ-NEGRETE",
"authorized_official_first_name": "HUGO",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "810-733-7560",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "C14627",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MICHIGAN",
"identifier": "700B511200",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Great Lakes Spine Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Flint, MI
- Flint Mass Transportation Authority
- Flint Medical Laboratory Incorporated
- Flint Neonatology, P.C.
- Flint Neurological Centre PC
- Flint Neuroscience Center, PLLC (Neurology Division)
- Flint Neuroscience Center, PLLC
- Flint Neuroscience Center, PLLC (Great Lakes Spine Center)
- Flint Odyssey House
- Flint Odyssey House Inc.
- Flint Odyssey House Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.