NPIMap

Organization Active NPI

Spine.Health, PLLC

  • Pain Clinic/Center
  • Southfield, MI
National Provider Identifier
1740796838
Registry record updated Dec 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
4301088960 Issued in MI
Legal business name
SPINE.HEALTH, PLLC
Practice address
15565 Northland Dr W Ste 304
Southfield, MI 48075-5313
Phone
(248) 809-3631
Fax
(248) 642-8992
NPI assigned
Dec 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2017

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

Authorized official

Name
Dr. Jeffrey Keith Wingate, MD
Title
President
Phone
(248) 228-0054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X 4301088960 MI Primary

Addresses

Primary practice location

15565 Northland Dr W Ste 304
Southfield, MI 48075-5313

Mailing address

1221 Bowers St Unit 2710
Birmingham, MI 48012-7106
Phone (248) 396-7612

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514332800000",
    "number": "1740796838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 BOWERS ST UNIT 2710",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480127106",
            "telephone_number": "248-396-7612",
            "fax_number": "248-566-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15565 NORTHLAND DR W STE 304",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755313",
            "telephone_number": "248-809-3631",
            "fax_number": "248-642-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE.HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-27",
        "last_updated": "2017-12-27",
        "status": "A",
        "authorized_official_last_name": "WINGATE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-228-0054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "MI",
            "license": "4301088960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; 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.