Organization Active NPI

Spine & Health LLC

  • Pain Clinic/Center
  • Southfield, MI
National Provider Identifier
1780183400
Registry record updated Feb 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
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

Updated by the provider on Feb 8, 2018

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.