Active NPI
Spine & Health LLC
- Pain Clinic/Center
- Southfield, MI
National Provider Identifier
1780183400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- Legal business name
- SPINE & HEALTH LLC
- Practice address
- 15565 Northland Dr W
Southfield, MI 48075-5303 - Phone
- (248) 809-3631
- Fax
- (248) 864-8992
- NPI assigned
- Feb 8, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hassan Fayad
- Title
- Ceo/Owner
- Phone
- (313) 888-2333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | Primary |
Addresses
Primary practice location
15565 Northland Dr W
Southfield, MI 48075-5303
Mailing address
15565 Northland Dr W
Southfield, MI 48075-5303
Phone (248) 809-3631
National Provider Directory
National Provider DirectoryLocations
15565 Northland Dr W
Southfield, MI 48075
Phone (248) 809-3631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1518048000000",
"number": "1780183400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15565 NORTHLAND DR W",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480755303",
"telephone_number": "248-809-3631",
"fax_number": "248-864-8992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15565 NORTHLAND DR W",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480755303",
"telephone_number": "248-809-3631",
"fax_number": "248-864-8992"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPINE & HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-08",
"last_updated": "2018-02-08",
"status": "A",
"authorized_official_last_name": "FAYAD",
"authorized_official_first_name": "HASSAN",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "313-888-2333"
},
"taxonomies": [
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": null,
"license": null,
"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 Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.