Michigan Spine Institute, PC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

MICHIGAN SPINE INSTITUTE, PC

Practice address

1819 E Big Beaver Rd
Suite 210
Troy, MI 48083-2015

Phone

(248) 740-9500

NPI assigned

Aug 10, 2007

Organization subpart

No

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

Authorized official

Name

Craig D Peppler, DO

Title

Owner

Phone

(248) 740-9500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1831381227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 674134",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482674134",
            "telephone_number": "248-740-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 E BIG BEAVER RD",
            "address_2": "SUITE 210",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832015",
            "telephone_number": "248-740-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN SPINE INSTITUTE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "PEPPLER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-740-9500",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "390F338520",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michigan Orthopaedic Surgeons PLLC (Michigan Orthopaedic Surgeons)
• Michigan Orthopaedic Surgeons PLLC
• Michigan Physical Therapy Specialists,PC
• Michigan Physicians Group, PC
• Michigan Rehabilitation Specialists of Fowlerville, LLC (ATI Physical Therapy)
• Michigan Telemed PLLC
• Ira Mickelson, MD
• Midwest Community Care Services LLC
• Midwest Community Home Healthcare Services LLC
• George S Miguel, D.O.

• Pain Medicine Physician in Troy, MI
• Providers in Troy, MI by specialty
• Pain Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.