INTERVENTIONAL PAIN CENTER PLLC (NPI# 1013385046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013385046 |
| Entity Type | Organization |
| Organization Name | INTERVENTIONAL PAIN CENTER PLLC |
| Practice Address |
27423 Van Dyke Ave Warren MI 48093-2867 |
| Mailing Address |
27423 Van Dyke Ave Suite B Warren MI 48093-2867 |
| Practice Telephone | 5867574000 |
| Practice Fax Number | 5867559880 |
| Mailing Telephone | 5867574000 |
| Mailing Fax Number | 5867559880 |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2017-02-20 |
| Authorized Official Name | RAJENDRA BOTHRA (OWNER) |
| Authorized Official Telephone | 5867574000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558428789 | Interventional Pain Center Pllc | Anesthesiology | 2153 Valleygate Dr, Suite 102, Fayetteville, NC 28304-3681 | 2007-01-03 |
| Street Address |
27423 VAN DYKE AVE |
| City | WARREN |
| State | MI |
| Zip Code | 48093-2867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780625251 | Eric Nicholas Backos | Acupuncturist | 27423 Van Dyke Ave, Warren, MI 48093-2867 | 2006-06-08 |
| 1164729695 | Vishal Vrajlal Patel | Physical Therapist | 27423 Van Dyke Ave, Warren, MI 48093-2867 | 2011-02-18 |
| 1891015160 | The Pain Center Usa Pllc | Durable Medical Equipment & Medical Supplies | 27423 Van Dyke Ave, Warren, MI 48093-2867 | 2010-06-09 |
| 1497921621 | Shalbhadra Bafna | Internal Medicine | 27423 Van Dyke Ave, Warren, MI 48093-2867 | 2008-05-07 |
| 1508996653 | The Pain Center Usa Pllc | Pain Medicine | 27423 Van Dyke Ave, Warren, MI 48093-2867 | 2007-03-07 |
| 1841320975 | Gerald M Wehmer | Psychologist | 27423 Van Dyke Ave, Warren, MI 48093-2867 | 2007-03-07 |
| 1497839328 | Rajendra Bothra | Specialist | 27423 Van Dyke Ave, Warren, MI 48093-2867 | 2006-10-25 |
| 1982637294 | Backos Physical Medicine and Rehabilitation Clinice Plc | Physical Medicine & Rehabilitation | 27423 Van Dyke Ave, Warren, MI 48093-2867 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
| 1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
| 1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
| 1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
| 1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
| 1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
| 1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
| 1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
| 1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
| 1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
| Find all providers in zip 48093 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104179878 | Synergy Spine and Orthopedic Surgery Center, LLC | Clinic/Center | 5504 E 12 Mile Rd, Warren, MI 48092-4684 | 2012-10-18 |
| 1033730098 | Michigan Advanced Surgical Center, Pllc | Clinic/Center | 27101 Schoenherr Rd Ste 200, Warren, MI 48088-4730 | 2020-04-30 |
| 1528206562 | Southfield Rehabilition Company | Clinic/Center | 11012 E 13 Mile Rd, Suite 112a, Warren, MI 48093-2572 | 2009-01-29 |
| 1841333606 | Warren General Hospital | Clinic/Center | 2 W Crescent Park, Warren, PA 16365-2111 | 2007-02-14 |
| 1558451583 | Lippy Surgery Center LLC | Clinic/Center | 3893 E Market St, Warren, OH 44484-4706 | 2006-10-13 |
| 1205859550 | Community Surgery & Laser Center, LLC | Clinic/Center | 2 Farm Colony Drive, Warren, PA 16365-5206 | 2006-07-26 |
| 1558380675 | The Surgery Center, Howland | Clinic/Center | 1934 Niles Cortland Rd Ne, Warren, OH 44484-1055 | 2006-07-19 |
| 1396738936 | Warren Gastro Endoscopy Ctr Inc | Clinic/Center | 1622 E Market St, Warren, OH 44483-6613 | 2005-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1588285050 | Hall Road Asc LLC | Clinic/Center | 11051 Hall Rd Ste 100, Utica, MI 48317-5737 | 2020-05-06 |
| 1235750431 | Precision Surgery Center LLC | Clinic/Center | 22701 Hall Road, Macomb, MI 48042 | 2020-04-29 |
| 1790306991 | Grass Lake Surgery Center LLC | Clinic/Center | 3800 Centennial Blvd, Grass Lake, MI 49240 | 2020-04-29 |
| 1992339147 | Movi Asc Management LLC | Clinic/Center | 5250 Auto Club Drive, Suite 170, Dearborn, MI 48126-2619 | 2020-02-26 |
| 1609409929 | Firestone Procedure Center LLC | Clinic/Center | 4520 Firestone St Ste C, Dearborn, MI 48126-4602 | 2020-02-14 |
| 1255972113 | Center Health Surgery Center LLC | Clinic/Center | 30671 Stephenson Hwy Ste F, Madison Heights, MI 48071-1635 | 2019-10-02 |
| 1942851639 | Northern Michigan Surgical Suites, LLC | Clinic/Center | 825 Moll Dr, Boyne City, MI 49712-9182 | 2019-09-24 |
| 1699328146 | Alliance Surgery Center, LLC | Clinic/Center | 3663 North Country Drive, Traverse City, MI 49684-4587 | 2019-07-23 |
| 1407313802 | Spectrum Health Hospitals | Clinic/Center | 4069 Lake Dr Se Ste 210, Grand Rapids, MI 49546-8816 | 2019-02-22 |
| Find all providers with the same taxonomy | ||||
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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.