Pure Healthy Back

Primary specialty

SpecialistTaxonomy code 174400000X

License

5501009288 Issued in MI

Legal business name

PURE HEALTHY BACK

Practice address

1500 W Big Beaver Rd Ste 150
Troy, MI 48084-3552

Phone

(248) 649-2323

NPI assigned

Jan 5, 2017

Organization subpart

Yes

Parent organization

UNIVERSITY NEUROSURGICALAs reported in NPPES

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

Authorized official

Name

Sandra Azar

Title

Billing Manager

Phone

(248) 649-2323

Specialties & licenses 1

Addresses

Part of

University Neurosurgical Associates

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1891230454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 W BIG BEAVER RD STE 150",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W BIG BEAVER RD STE 150",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843552",
            "telephone_number": "248-649-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE HEALTHY BACK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY NEUROSURGICAL",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "AZAR",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "248-649-2323"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "5501009288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren M Puente, PA-C
• Joseph Pulito, DO
• Lynn Marie Purcilly
• Stefanie Purdon, M.D.
• Pure Health Center, PLLC
• Pure Journey Counseling
• Pure Michigan Foot and Ankle Clinic PLLC
• Pure Pay Billing LLC
• Pure Psychiatry of Michigan PLLC
• Pure United Care LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.