Dima Sprague

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

5601006517 Issued in MI

Practice address

28800 Ryan Rd
Warren, MI 48092-4272

Phone

(586) 577-9444

NPI assigned

Feb 8, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dimasprague@ssom.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spine Specialists of Michigan PC

  • Orthopaedic Surgery of the Spine Physician
  • Bingham Farms, MI
  • NPI 1891822565
  Medicare reassignment
• Spine Specialist of Michigan PC

  • Orthopaedic Surgery of the Spine Physician
  • Bingham Farms, MI
  • NPI 1760687487
  NPD

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1275872376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6924 APPOLINE ST",
            "address_2": "UPPER LEVEL",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28800 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480924272",
            "telephone_number": "586-577-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRAGUE",
        "first_name": "DIMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-08",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006517",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MI",
            "license": "5601006517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert Spickers
• Spine Solutions PLLC
• Anthony D. Spitler, O.D.
• Monet Murrell Spivey, MASSAGE THERAPIST
• Thomas C Spoor, MD
• Michael Spratt, BS
• Ann M. Spriet, D.P.M.
• Amanda Springsteen, BSW
• Sr Home Care Service LLC
• Rashmi Sridhara, D.O.

• Surgical Physician Assistant in Warren, MI
• Providers in Warren, MI by specialty
• Surgical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.