NPIMap

Organization Active NPI

Advanced Interventional Spine and Surgery PC

  • Medical Specialty Clinic/Center
  • Shepherd, MI
National Provider Identifier
1508165671
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
4301092952 Issued in MI
Legal business name
ADVANCED INTERVENTIONAL SPINE AND SURGERY PC
Practice address
6382 E Millbrook Rd
Shepherd, MI 48883-9327
Phone
(989) 400-6932
NPI assigned
Mar 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Authorized official

Name
Miss Cindy Esch
Title
President
Phone
(989) 400-6932

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 4301092952 MI Primary
Primary Care Clinic/Center 261QP2300X 4301092952 MI
Pain Clinic/Center 261QP3300X 4301092952 MI

Addresses

Primary practice location

6382 E Millbrook Rd
Shepherd, MI 48883-9327

Mailing address

6382 E Millbrook Rd
Shepherd, MI 48883-9327
Phone (989) 400-6932

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1508165671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6382 E MILLBROOK RD",
            "city": "SHEPHERD",
            "state": "MI",
            "postal_code": "488839327",
            "telephone_number": "989-400-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6382 E MILLBROOK RD",
            "city": "SHEPHERD",
            "state": "MI",
            "postal_code": "488839327",
            "telephone_number": "989-400-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED INTERVENTIONAL SPINE AND SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "ESCH",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-400-6932",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MI",
            "license": "4301092952",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4301092952",
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "MI",
            "license": "4301092952",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shepherd, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.