Integrated Spine and Pain Center PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301062116 Issued in MI

Legal business name

INTEGRATED SPINE AND PAIN CENTER PLLC

Practice address

1324 S. Park Street
Kalamazoo, MI 49001

Phone

(269) 381-2800

NPI assigned

Dec 28, 2015

Organization subpart

No

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

Authorized official

Name

Nazem Abdelfattah, M.D.

Title

Medical Doctor

Phone

(269) 381-2800

Specialties & licenses 3

Addresses

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nikki Austin, LMT

  • Massage Therapist
  • Kalamazoo, MI
  • NPI 1932964160
  NPD (past)
• Andrew Paul Boyce, DC

  • Chiropractor
  • Kalamazoo, MI
  • NPI 1851873467
  NPD (past)
• Robert Boykin, D.C

  • Chiropractor
  • Lathrup Village, MI
  • NPI 1902154362
  NPD (past)
• Trevor F Eisaman, DC

  • Chiropractor
  • Kalamazoo,, MI
  • NPI 1770050502
  NPD (past)
• Zoey Michalak

  • Massage Therapist
  • Kalamazoo, MI
  • NPI 1104755131
  NPD (past)
• Daryel Pruitt, LMT

  • Massage Therapist
  • Kalamazoo, MI
  • NPI 1386522571
  NPD (past)
• Laura Young, LMT

  • Massage Therapist
  • Kalamazoo, MI
  • NPI 1316702608
  NPD (past)
• Courtney Kitzrow, D.C

  • Chiropractor
  • Fond Du Lac, WI
  • NPI 1619401098
  NPD (past)
• Carissa Marie Mitchell, D.C.

  • Chiropractor
  • Perham, MN
  • NPI 1750774204
  NPD (past)

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1740645381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 S. PARK STREET",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49001",
            "telephone_number": "269-381-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 S. PARK STREET",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49001",
            "telephone_number": "269-381-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED SPINE AND PAIN CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "ABDELFATTAH",
        "authorized_official_first_name": "NAZEM",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "269-381-2800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301062116",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "ME120998",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704241734",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inspiration Institute LLC
• Inspire Wellness Counseling, PLLC
• Inspired Health & Wellness PLLC
• Integrated Behavioral Health Psychological Services, PLLC
• Integrated Services of Kalamazoo
• Integrity Care Group LLC
• Intentional Growth LLC
• Interact of Michigan, Inc
• Internal Strength Therapy P.L.L.C.
• Sohaib Mehroze Iqbal, MD

• Family Medicine Physician in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.