Spine Specialists of Michigan PC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

Legal business name

SPINE SPECIALISTS OF MICHIGAN PC

Practice address

32270 Telegraph Rd Ste 110
Bingham Farms, MI 48025-2456

Phone

(248) 792-9496

Fax

(248) 865-4231

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Louis Nathaniel Radden, DONPI 1184675886

Title

Owner

Phone

(248) 865-4262

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Spine Specialist of Michigan PC

  • Orthopaedic Surgery of the Spine Physician
  • Bingham Farms, MI
  • NPI 1760687487

  O20070402000538

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• Direct secure messaging: garygilyard@ssom.allscriptsdirect.net
• Direct secure messaging: louisradden@ssom.allscriptsdirect.net
• Direct secure messaging: dimasprague@ssom.allscriptsdirect.net

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Louis Nathaniel Radden, DO

  • Orthopaedic Surgery Physician
  • Bingham Farms, MI
  • NPI 1184675886
  Medicare reassignment Care Compare group NPD Authorized official
• Jason Adam Bitkowski, D.O.

  • Surgery Physician
  • Jonesboro, GA
  • NPI 1356555718

  MI

  Medicare reassignment Care Compare group NPD
• Jennifer Gamble, NP-C

  • Adult Health Nurse Practitioner
  • West Bloomfield, MI
  • NPI 1932599073
  Medicare reassignment NPD
• Gary G Gilyard, MD

  • Orthopaedic Surgery Physician
  • Warren, MI
  • NPI 1710967815
  Medicare reassignment NPD
• Dima Sprague

  • Surgical Physician Assistant
  • Warren, MI
  • NPI 1275872376
  Medicare reassignment
• Jacqueline Hardy

  • Physician Assistant
  • Bingham Farms, MI
  • NPI 1356981906
  NPD

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1891822565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32406 FRANKLIN RD UNIT 250493",
            "city": "FRANKLIN",
            "state": "MI",
            "postal_code": "480257016",
            "telephone_number": "248-792-9496",
            "fax_number": "248-865-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32270 TELEGRAPH RD STE 110",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480252456",
            "telephone_number": "248-792-9496",
            "fax_number": "248-865-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE SPECIALISTS OF MICHIGAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "RADDEN",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "NATHANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-865-4262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Rose Speaks, M.ED., BCBA, LBA
• Brittany Renee Spear
• Latena Antionette Speeks
• Clarissa Vera Spencer
• Spine Specialist of Michigan PC
• Katelyn Danielle Spitzley
• Chelsea Sporn
• Marissa Spraggins
• Morgan Sroka, DPT
• St. Marina Home Dialysis LLC

• Orthopaedic Surgery of the Spine Physician in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Orthopaedic Surgery of the Spine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.