ELITE SPINE AND MUSCULOSKELETAL CENTER PLLC (NPI# 1386998755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386998755 |
| Entity Type | Organization |
| Organization Name | ELITE SPINE AND MUSCULOSKELETAL CENTER PLLC |
| Practice Address |
3351 Eagle Run Dr Ne Grand Rapids MI 49525-7070 |
| Practice Telephone | 6163251224 |
| Practice Fax Number | 8889728067 |
| Mailing Telephone | 6163251224 |
| Mailing Fax Number | 8889728067 |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2017-10-30 |
| Authorized Official Name | DR. DEREK ANTHONY LADO (MEMBER) |
| Authorized Official Telephone | 6163251224 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
5101014670 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
3351 EAGLE RUN DR NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-7070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932154192 | Derek Anthony Lado | Physical Medicine & Rehabilitation | 3351 Eagle Run Dr Ne, Grand Rapids, MI 49525-7070 | 2006-05-24 |
| 1982975843 | Danielle N Boog | Occupational Therapist | 3351 Eagle Run Dr Ne, Grand Rapids, MI 49525-7070 | 2012-01-24 |
| 1437436268 | Spectrum Health Primary Care Partners | Psychiatry & Neurology | 3351 Eagle Run Dr Ne, Grand Rapids, MI 49525-7070 | 2011-11-08 |
| 1659662138 | Aaron James Wilson | Social Worker | 3351 Eagle Run Dr Ne, Ste C, Grand Rapids, MI 49525-7070 | 2011-05-02 |
| 1447557111 | Kelly J Fairchild | Social Worker | 3351 Eagle Run Dr Ne, Ste C, Grand Rapids, MI 49525-7070 | 2011-02-16 |
| 1386948586 | Micheline Martha Lockerd | Social Worker | 3351 Eagle Run Dr Ne, Grand Rapids, MI 49525-7070 | 2011-01-03 |
| 1164756268 | Katharine Larsen Bennett | Psychologist | 3351 Eagle Run Dr Ne, Suite C, Grand Rapids, MI 49525-7070 | 2009-09-23 |
| 1861692782 | Bradley Taylor Bridges | Social Worker | 3351 Eagle Run Dr Ne, Grand Rapids, MI 49525-7070 | 2007-07-19 |
| 1114148046 | Branden Lyon | Social Worker | 3351 Eagle Run Dr Ne, Suite C, Grand Rapids, MI 49525-7070 | 2007-05-01 |
| 1639218050 | Rene Louise Manker | Physical Therapist | 3351 Eagle Run Dr Ne, Grand Rapids, MI 49525-7053 | 2007-02-05 |
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|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932154192 | Derek Anthony Lado | Physical Medicine & Rehabilitation | 3351 Eagle Run Dr Ne, Grand Rapids, MI 49525-7070 | 2006-05-24 |
| 1497710610 | Eric Christopher Kozfkay | Physical Medicine & Rehabilitation | 2060 E Paris Ave Se, Suite 200, Grand Rapids, MI 49546-6501 | 2006-04-19 |
| 1801850292 | Frances Shawn Madden | Physical Medicine & Rehabilitation | 1900 Wealthy St Se, Suite 290, Grand Rapids, MI 49506-2969 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720629157 | Commerce Sports and Spine Pllc | Physical Medicine & Rehabilitation | 29877 Telegraph Rd Ste 400, Southfield, MI 48034-7661 | 2019-10-07 |
| 1710461421 | Pureland Physical Therapy | Physical Medicine & Rehabilitation | 45555 Mound Rd, Shelby Twp, MI 48317 | 2018-09-18 |
| 1861930109 | Excel Physical Medicine and Rehabilitation PC | Physical Medicine & Rehabilitation | 6089 W Maple Rd, Suite 250a, West Bloomfield, MI 48322-2286 | 2017-02-07 |
| 1447611926 | Detroit Institute of Pain & Musculoskeletal Medicine | Physical Medicine & Rehabilitation | 13510 Michigan Ave, Dearborn, MI 48126-3511 | 2016-03-11 |
| 1710355482 | Michigan Center for Regenerative Medicine Pllc | Physical Medicine & Rehabilitation | 1349 S Rochester Rd Ste 130, Rochester Hills, MI 48307-3152 | 2015-09-10 |
| 1396128021 | Michael Bonnette | Physical Medicine & Rehabilitation | 18312 Middlebelt Rd, Livonia, MI 48152-5007 | 2015-06-30 |
| 1134460439 | Adam L Powell | Physical Medicine & Rehabilitation | 1675 E Mount Garfield Rd, Muskegon, MI 49444 | 2013-03-12 |
| 1629328232 | Michigan Comprehensive Spine & Rehab PC | Physical Medicine & Rehabilitation | 29877 Telegraph Rd Ste 403, Southfield, MI 48034-1332 | 2012-09-12 |
| 1083996102 | Winchester Services LLC | Physical Medicine & Rehabilitation | 18470 Santa Ann Ave., Lathrup Village, MI 48076-4525 | 2011-09-14 |
| 1508008814 | Nmrs, P.C. | Physical Medicine & Rehabilitation | 267 Creekside Dr, Suite 200, Petoskey, MI 49770-7609 | 2009-04-01 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
Please comment or provide details below to improve the information on ELITE SPINE AND MUSCULOSKELETAL CENTER PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.