INTEGRATED SPINE AND PAIN CENTER PLLC (NPI# 1740645381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740645381 |
| Entity Type | Organization |
| Organization Name | INTEGRATED SPINE AND PAIN CENTER PLLC |
| Practice Address |
1324 S. Park Street Kalamazoo MI 49001 |
| Practice Telephone | 2693812800 |
| Mailing Telephone | 2693812800 |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2016-05-25 |
| Authorized Official Name | NAZEM ABDELFATTAH (MEDICAL DOCTOR) |
| Authorized Official Telephone | 2693812800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | ME120998 | MI | Suppliers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704241734 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207Q00000X | Family Medicine | 4301062116 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
1324 S. PARK STREET |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568004372 | Tiffany Malory | Counselor | 2030 Portage St., Kalamazoo, MI 49001 | 2019-10-14 |
| 1770050502 | Trevor F Eisaman | Chiropractor | 1324 S Park St Suite #3, Kalamazoo, MI 49001 | 2018-10-30 |
| 1104318369 | Marathon Health LLC | Nurse Practitioner | 3520 Covington Rd, Kalamazoo, MI 49001 | 2018-06-04 |
| 1407374580 | Joel Damian Burnett | Counselor | 401 Howard St., Kalamazoo, MI 49001 | 2017-09-08 |
| 1538686449 | Amber Dawn Beauchamp | Counselor | 401 S. Howard St., Kalamazoo, MI 49001 | 2017-08-23 |
| 1366825317 | Abigail Rose Franklin- Bly | Social Worker | 1608 Lake St., Kalamazoo, MI 49001 | 2015-07-08 |
| 1194108142 | Glenn Pohl | Social Worker | 1608 Lake Street, Kalamazoo, MI 49001 | 2015-07-08 |
| 1285996850 | Aisha Coulson-walters | Social Worker | 1501 Fulford St, Kalamazoo, MI 49001 | 2012-06-11 |
| 1912279282 | Custom Carelink, L.L.C. | Home Health | 2300 Portage St., Apt. 127, Kalamazoo, MI 49001 | 2012-02-02 |
| 1508169145 | Physicians Toxicology Laboratory, LLC | Clinical Medical Laboratory | 4433 Manchester Rd., Kalamazoo, MI 49001 | 2010-12-20 |
| Find all providers in zip 49001 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296760 | Inspired Health & Wellness Pllc | Family Medicine | 4415 Duke St Ste 2e, Kalamazoo, MI 49008-3224 | 2019-10-08 |
| 1619532199 | Swmi Health Matters Pllc | Family Medicine | 3240 S Westnedge Ave, Kalamazoo, MI 49008-2903 | 2019-05-09 |
| 1295203032 | Online Care Solutions Plc | Family Medicine | 2223 Rambling Rd, Kalamazoo, MI 49008-1628 | 2018-11-09 |
| 1699186957 | Christine Bourgeois | Family Medicine | 1631 S Westnedge Ave, Kalamazoo, MI 49008-1928 | 2014-05-08 |
| 1750643375 | William N Hubbard Jr. | Family Medicine | 3634 Woodcliff Dr, Kalamazoo, MI 49008-2513 | 2012-06-10 |
| 1316212111 | Otto Ivan Linet | Family Medicine | 526 Jasper Street, Jasper Clinic, Kalamazoo, MI 49007-5319 | 2012-03-13 |
| 1033420419 | Nathan Tushar Patel | Family Medicine | 6838 Elm Valley Dr, Kalamazoo, MI 49009 | 2010-06-30 |
| 1760675722 | Frank G. Harrell, M.d. | Family Medicine | 1602 Gull Rd, Kalamazoo, MI 49048-1608 | 2007-08-23 |
| 1730391194 | Rebecca Lee Mallett | Family Medicine | 7404 W H Ave, Kalamazoo, MI 49009-8586 | 2007-05-05 |
| 1780805176 | Chris Allen Unterseher | Family Medicine | 923 Interlochen Street, Kalamazoo, MI 49009 | 2007-05-01 |
| Find all providers in KALAMAZOO | ||||
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| 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.