Active NPI
Shorepointe Spine and Joint Center PLLC
- Physical Medicine & Rehabilitation Physician
- Warren, MI
National Provider Identifier
1326411992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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 DirectoryLocations
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.