LUCENT SPINE, PLLC (NPI# 1376808105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376808105 |
| Entity Type | Organization |
| Organization Name | LUCENT SPINE, PLLC |
| Practice Address |
2300 Haggerty Rd Ste 2100 West Bloomfield MI 48323-2191 |
| Mailing Address |
7025 E Michigan Ave Ste J Saline MI 48176-9479 |
| Practice Telephone | 7347077463 |
| Practice Fax Number | 7349445020 |
| Mailing Telephone | 7347077463 |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-07-09 |
| Authorized Official Name | DR. STANLEY LEE (PRINCIPAL&MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7347077463 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
4301083331 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
2300 HAGGERTY RD STE 2100 |
| City | WEST BLOOMFIELD |
| State | MI |
| Zip Code | 48323-2191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023658598 | Michigan Interventional Pain Associates Pllc | Pain Medicine | 2300 Haggerty Rd Ste 2100, West Bloomfield, MI 48323-2191 | 2020-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235503301 | James K. Uhes | Occupational Therapist | 2300 Haggerty Rd. Ste 2190, Lakes Medical Center, West Bloomfield, MI 48323 | 2015-11-30 |
| 1700253283 | Max Elder | Specialist/Technologist | 2387 Scotch Pine St, West Bloomfield, MI 48323 | 2015-08-31 |
| 1952792400 | Michael Cataldo | Technician, Other | 6626 Torybrooke Ct, West Bloomfield, MI 48323 | 2015-02-05 |
| 1982944666 | Steven Nathan Rives | Internal Medicine | 2300 Haggerty Rd Ste 2060, West Bloomfield, MI 48323 | 2013-02-18 |
| 1275871832 | Detroit Medical Center Sinai Grace Hospital | General Acute Care Hospital | 3495 Pine Estates Drive, West Bloomfield, MI 48323 | 2013-01-16 |
| 1295090793 | Advance Health Care System, LLC | Massage Therapist | 4267 Foxpoint, West Bloomfield, MI 48323 | 2012-07-10 |
| 1841566700 | Eduardo Rivera | Pathology | 2920 Bloomfield Shore Drive, West Bloomfield, MI 48323 | 2012-03-26 |
| 1952611782 | Debra Mary Gregory PC LLC | Social Worker | 7130 Walnut Lake Road, West Bloomfield, MI 48323 | 2010-10-14 |
| 1033362793 | Alvin Yousif Daboul | Dentist | 2332 Hiller Road, West Bloomfield, MI 48323 | 2008-10-28 |
| 1386846574 | Jerald B Maltzman | Radiology | 4744 Wendrick Dr, W. Bloomfield, MI 48323 | 2007-06-01 |
| Find all providers in zip 48323 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760687487 | Spine Specialist of Michigan PC | Orthopaedic Surgery | 6621 W Maple Rd, West Bloomfield, MI 48322-4928 | 2007-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144650391 | Accuspine Pllc | Orthopaedic Surgery | 612 Park St, Birmingham, MI 48009-3424 | 2013-11-24 |
| 1669809612 | Michigan Orthopaedic Spine Surgeons PC | Orthopaedic Surgery | 29624 Woodward Ave, Royal Oak, MI 48073-0905 | 2013-10-07 |
| 1033143052 | Jeffrey K. Wingate, M.d. | Orthopaedic Surgery | 13355 East Ten Mile Road, Medical Office Building East Ste. 115, Warren, MI 48089 | 2006-07-10 |
| 1689605925 | Philip Jeffery Mayer | Orthopaedic Surgery | 9389 N Haggerty Rd, Plymouth, MI 48170-4622 | 2006-07-05 |
| 1235117524 | Jeffrey K Wingate | Orthopaedic Surgery | 555 Barclay Cir Ste 140, Rochester Hills, MI 48307-4587 | 2006-01-06 |
| 1801870266 | Edgar Neil Pasia | Orthopaedic Surgery | 940 River Centre Dr., Port Huron, MI 48060 | 2005-11-30 |
| 1194713669 | Kenneth J Easton | Orthopaedic Surgery | 1111 Leffingwell Ne, Ste 100, Grand Rapids, MI 49525 | 2005-10-10 |
| 1669465761 | John Ernest Lamacchia | Orthopaedic Surgery | 1135 W University Dr Ste 450, Rochester, MI 48307-1871 | 2005-08-24 |
| 1104458181 | Msu Health Care Inc. | Orthopaedic Surgery | 4660 S Hagadorn Rd Ste 500, East Lansing, MI 48823-6804 | 2020-02-07 |
| 1124589460 | Smi Care of Mi, LLC | Orthopaedic Surgery | 755 W Big Beaver Rd Ste 2020, Troy, MI 48084-4925 | 2019-03-28 |
| Find all providers with the same taxonomy | ||||
| City | WEST BLOOMFIELD |
| Zip Code | 48323 |
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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.