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DEARBORN PAIN SPECIALISTS PLC NPI 1851842157


NPI Information

NPI: 1851842157
Provider Name: DEARBORN PAIN SPECIALISTS, PLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 23D2261795

Address:
13530 MICHIGAN AVE
SUITE 245
DEARBORN, MI
ZIP 48126
Phone: (954) 644-2880
Get Directions

DEARBORN PAIN SPECIALISTS, PLC is an interventional pain medicine pain medicine in Dearborn, MI. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. DEARBORN PAIN SPECIALISTS, PLC NPI is 1851842157. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13530 MICHIGAN AVE
SUITE 245
DEARBORN, MI
ZIP 48126-574
Phone: (954) 644-2880

The provider's authorized official is James C Padula .
The authorized official title is Physician/owner and has the following contact phone number (954) 644-2880.

The CLIA number assigned to this NPI record is 23D2261795 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/21/2016 and was last updated on 10/21/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208VP0014XPain MedicineInterventional Pain Medicine5101020822MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G27091MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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