Spine and Joint Pain Management Center PC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

4301097463 Issued in MI

Legal business name

SPINE AND JOINT PAIN MANAGEMENT CENTER PC

Doing business as

SPINE AND JOINT PAIN MANAGEMENT CENTER PC

Practice address

20180 W 12 Mile Rd
Ste 200
Southfield, MI 48076-5412

Phone

(248) 200-7756

Fax

(248) 281-3535

NPI assigned

Mar 27, 2014

Organization subpart

No

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

Authorized official

Name

Muhammed Kamran Ahsan, MD

Title

MD/Owner

Phone

(937) 673-3983

Specialties & licenses 2

Addresses

Other names 1

• SPINE AND JOINT PAIN MANAGEMENT CENTER PC Doing business as

Locations

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1659798627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 BOWERS ST UNIT 2653",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480127104",
            "telephone_number": "937-673-3983",
            "fax_number": "248-281-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20180 W 12 MILE RD",
            "address_2": "STE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765412",
            "telephone_number": "248-200-7756",
            "fax_number": "248-281-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND JOINT PAIN MANAGEMENT CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "AHSAN",
        "authorized_official_first_name": "MUHAMMED",
        "authorized_official_middle_name": "KAMRAN",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "937-673-3983",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301097463",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MI",
            "license": "4301097463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPINE AND JOINT PAIN MANAGEMENT CENTER PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael G Sperl, M.D.
• Charlotte Mary Spicuzzi, PT, DPT
• Jordan Kimbillee Spiller, PT, DPT
• Spinal Care Specialist PLLC
• Spine & Health LLC
• Spine.Health, PLLC
• Spire 9 LLC
• Spirit Home Health Care, Inc
• Spirit of Detroit
• Andrew Spitzer, PMHNP

• Interventional Pain Medicine Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Interventional Pain Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.