Advanced Spinal Reconstruction PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ADVANCED SPINAL RECONSTRUCTION PLLC

Practice address

972 Chesterfield Ave
Birmingham, MI 48009-1223

Phone

(248) 228-0054

NPI assigned

Sep 1, 2020

Last updated

Sep 1, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pamela J Morearty

Title

Biller

Phone

(248) 421-0243

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1750995361",
    "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": "248-228-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "972 CHESTERFIELD AVE",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091223",
            "telephone_number": "248-228-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SPINAL RECONSTRUCTION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "MOREARTY",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "248-421-0243"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.