Organization Active NPI

Richard C Spinale DO PC

  • Surgery Physician
  • Garden City, MI
National Provider Identifier
1902889884
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
009110 Issued in MI
Legal business name
RICHARD C SPINALE DO PC
Practice address
6255 Inkster Rd
Suite 207
Garden City, MI 48135-2577
Phone
(734) 427-6570
Fax
(734) 427-6140
NPI assigned
Nov 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Authorized official

Name
Dr. Richard C Spinale, DO
Title
General Surgeon
Phone
(734) 427-6520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 009110 MI Primary

Addresses

Primary practice location

6255 Inkster Rd
Suite 207
Garden City, MI 48135-2577

Mailing address

6255 Inkster Rd
Suite 207
Garden City, MI 48135-2577
Phone (734) 427-6570

Other identifiers 1

IdentifierTypeStateIssuer
2842362MedicaidMI

National Provider Directory

National Provider Directory

Locations

6255 Inkster Rd
Ste 207
Garden City, MI 48135
Phone (734) 427-6570

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1902889884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 INKSTER RD",
            "address_2": "SUITE 207",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352577",
            "telephone_number": "734-427-6570",
            "fax_number": "734-427-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 INKSTER RD",
            "address_2": "SUITE 207",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352577",
            "telephone_number": "734-427-6570",
            "fax_number": "734-427-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD C SPINALE DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-23",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "SPINALE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "GENERAL SURGEON",
        "authorized_official_telephone_number": "734-427-6520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MI",
            "license": "009110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2842362",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.