ADVANCE SPINE & PAIN (NPI# 1821597659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821597659 |
| Entity Type | Organization |
| Organization Name | ADVANCE SPINE & PAIN |
| Practice Address |
24715 Little Mack Ave Ste 100 Saint Clair Shores MI 48080-3207 |
| Mailing Address |
10 Lochmoor Blvd Grosse Pointe Shores MI 48236-1748 |
| Practice Telephone | 5867797970 |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | ALEXANDER AJLOUNI (PHYSICIAN) |
| Authorized Official Telephone | 3134074422 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 50505 Schoenherr Rd Ste 120, Shelby Twp, MI 483153140 | 5864121411 |
| Street Address |
24715 LITTLE MACK AVE STE 100 |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48080-3207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679500284 | Alexander Ajlouni | Anesthesiology | 24715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080 | 2006-06-27 |
| 1508410168 | Associated Orthopedists of Detroit PC | Clinic/Center | 24715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080-3207 | 2019-07-31 |
| 1730646696 | Maren Bahra | Physician Assistant | 24715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080-3207 | 2019-02-27 |
| 1275041188 | Bryan Krall | Physical Therapist | 24715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080-3207 | 2018-01-12 |
| 1881107738 | Meghan Elizabeth Gallagher | Nurse Practitioner | 24715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080-3207 | 2017-11-14 |
| 1780104711 | Scott Wade | Physical Therapist | 24715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080 | 2017-06-21 |
| 1124368923 | Jonathon Hinz | Orthopaedic Surgery | 24715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080 | 2013-02-15 |
| 1295971539 | James Storhok | Physical Therapist | 24715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080-3207 | 2008-12-16 |
| 1639214406 | Matthew Ryan Roeser | Specialist/Technologist | 24715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080-3207 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508482084 | Farrah Aleema Rajab | Family Medicine | 24911 Little Mack Avenue, Suite C, St. Clair Shores, MI 48080 | 2020-06-22 |
| 1558986141 | Julia Anastazja Krakowska | Family Medicine | 24911 Little Mack, Suite C, St. Clair Shores, MI 48080 | 2020-06-10 |
| 1972073567 | Joyce Stepnak | Social Worker | 19611 E. 8 Mile Rd, Scs, MI 48080 | 2018-11-27 |
| 1487134177 | Bonnie Girson | Social Worker | 23409 Jefferson Ave Ste 100, Saint Clair Shores, MI 48080 | 2018-08-21 |
| 1609309913 | Park Pharmacy Scs LLC | Pharmacy | 20225 E 9 Mile Rd Ste 120a, Saint Clair Shores, MI 48080 | 2017-04-05 |
| 1730564055 | Mary Rose Giroux | Psychologist | 22516 Overlake St, St. Clair Shores, MI 48080 | 2015-07-28 |
| 1962882910 | Ali Tarif Bazzy | Family Medicine | 20225 E 9 Mile Rd Ste A, Saint Clair Shores, MI 48080 | 2015-06-04 |
| 1497156228 | Kelly Zalewski | Social Worker | 24631 Jefferson Ave, Saint Clair Shores, MI 48080 | 2014-09-11 |
| 1669871364 | Mallory Margret Gordon | Psychologist | 19900 E. 10 Mile Rd., Ste. 102, Saint Clair Shores, MI 48080 | 2014-08-19 |
| 1932549375 | Alexander Peter Bill | Otolaryngology | 22631 Greater Mack Ave Ste 200, Saint Clair Shores, MI 48080 | 2013-06-30 |
| Find all providers in zip 48080 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992274450 | Spine & Back Recovery Inc | Pain Medicine | 1975 E Maple Rd, Troy, MI 48083-4214 | 2018-11-14 |
| 1184126906 | Performance Orthopedics of Michigan Pllc | Pain Medicine | 27207 Lahser Rd Ste 108, Southfield, MI 48034-8470 | 2018-03-07 |
| 1689184020 | Midwest Surgical Affiliates, Pllc | Pain Medicine | 8560 N Silvery Ln Ste 202, Dearborn Heights, MI 48127-4515 | 2017-10-11 |
| 1407385529 | Provider Services Network LLC | Pain Medicine | 31500 W 13 Mile Rd Ste 106, Farmington Hills, MI 48334-2172 | 2017-06-12 |
| 1124441258 | Better Care Company,pc | Pain Medicine | 31000 Telegraph Rd Ste 140, Bingham Farms, MI 48025-4361 | 2014-01-24 |
| 1063855823 | Advance Care Visiting Physicians | Pain Medicine | 3550 Burbank Dr, Ann Arbor, MI 48105-1596 | 2013-04-11 |
| 1639438062 | Advanced Diagnostic Medical Imaging PC | Pain Medicine | 19891 Parke Ln, Grosse Ile, MI 48138-1027 | 2012-05-04 |
| 1598081317 | Michigan Institute of Pain Management West | Pain Medicine | 11650 Belleville Road, Van Buren Township, MI 48111 | 2010-04-19 |
| 1447583398 | Dial A Doc Physicians PC | Pain Medicine | 28 N Saginaw, Chase Building, Pontiac, MI 48340 | 2009-09-10 |
| 1033377452 | Arduth Maureen Burgess | Pain Medicine | 1910 W Howell Rd, Mason, MI 48854-9335 | 2008-06-02 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48080 |
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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.