Michigan Spine and Pain Clinic PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

MICHIGAN SPINE AND PAIN CLINIC PLLC

Practice address

4150 225TH Ave
Suite C
Reed City, MI 49677-7910

Phone

(231) 832-5821

NPI assigned

Aug 3, 2015

Organization subpart

No

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

Authorized official

Name

Abid Agha, MD

Title

Owner

Phone

(231) 832-5821

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ADADAA

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1922484849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 BREAKWATER DR",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488644413",
            "telephone_number": "810-230-0339",
            "fax_number": "810-715-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 225TH AVE",
            "address_2": "SUITE C",
            "city": "REED CITY",
            "state": "MI",
            "postal_code": "496777910",
            "telephone_number": "231-832-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN SPINE AND PAIN CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "AGHA",
        "authorized_official_first_name": "ABID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-832-5821",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mecosta County Medical Center
• Michael Philp Megill, BEHAVIORAL ASSISTANT
• Stephanie Lynn Merklinger, LMSW
• Jamie Ann Meyer, NP
• Michigan Medical Patient Care
• Alexis Millen
• Stevin Nafaa, PHARMD
• Lydia Jeane Najmon, MA, CCC-SLP
• Lajimohan Nalinakumari Mohanakumar
• Emily Katherine Nelson, FNP-C

• Physical Medicine & Rehabilitation Physician in Reed City, MI
• Providers in Reed City, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.