Organization Active NPI

Shorepointe Spine and Joint Center PLLC

  • Physical Medicine & Rehabilitation Physician
  • Warren, MI
National Provider Identifier
1326411992
Registry record updated Jan 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
SHOREPOINTE SPINE AND JOINT CENTER PLLC
Practice address
30838 Schoenherr Rd
Warren, MI 48088-6856
Phone
(586) 776-4000
Fax
(556) 777-1031
NPI assigned
Nov 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2016

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

Authorized official

Name
Anthony Adeleye, MD
Title
Sole Member
Phone
(586) 776-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

30838 Schoenherr Rd
Warren, MI 48088-6856

Mailing address

30838 Schoenherr Rd
Warren, MI 48088-6856
Phone (586) 776-4000

National Provider Directory

National Provider Directory

Locations

30838 Schoenherr Rd
Warren, MI 48088
Phone (586) 776-4000

NPI Registry JSON

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453075200000",
    "number": "1326411992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30838 SCHOENHERR RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480886856",
            "telephone_number": "586-776-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30838 SCHOENHERR RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480886856",
            "telephone_number": "586-776-4000",
            "fax_number": "556-777-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOREPOINTE SPINE AND JOINT CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2016-01-18",
        "status": "A",
        "authorized_official_last_name": "ADELEYE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "586-776-4000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; 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.