Southeast Michigan Brain and Spine Surgery, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301093301 Issued in MI

Legal business name

SOUTHEAST MICHIGAN BRAIN AND SPINE SURGERY, PLLC

Practice address

4800 S Saginaw St
Suite 1800
Flint, MI 48507-2669

Phone

(810) 732-8336

Fax

(810) 239-4346

NPI assigned

Sep 23, 2008

Organization subpart

No

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

Authorized official

Name

Rkia Elaoufir

Title

Billing Specialist

Phone

(810) 732-8336

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1427208768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 S SAGINAW ST",
            "address_2": "SUITE 1800",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072669",
            "telephone_number": "810-732-8336",
            "fax_number": "810-239-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 S SAGINAW ST",
            "address_2": "SUITE 1800",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072669",
            "telephone_number": "810-732-8336",
            "fax_number": "810-239-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST MICHIGAN BRAIN AND SPINE SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "ELAOUFIR",
        "authorized_official_first_name": "RKIA",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "810-732-8336"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301093301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1619991023",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4301093301",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Soth, COA
• Jason R Sotzen, MD
• Soul Care Counseling Solutions
• Jesse Soulia, PSY.D
• Lasonji Donika Southall, OWNER/CEO
• Southeast Michigan Surgical Hospital, LLC (Insight Surgical Hospital)
• Bridgette N Southern, LLMSW
• Jeremy Southworth, BSW
• Jacqueline Marlene Sova, LLP
• Kathy Sovey

• Specialist in Flint, MI
• Providers in Flint, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.