TRI-STATE PHYSICIANS GROUP PC (NPI# 1033654595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033654595 |
| Entity Type | Organization |
| Organization Name | TRI-STATE PHYSICIANS GROUP PC |
| Practice Address |
3011 W Grand Blvd Suite 306 Detroit MI 48202-3096 |
| Practice Telephone | 3139861011 |
| Mailing Telephone | 3139861011 |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2016-12-19 |
| Authorized Official Name | SPILIOS PAPPAS (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 3139861011 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
3011 W GRAND BLVD SUITE 306 |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-3096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518956259 | Debra Ann Brodie | Psychologist | 3011 W Grand Blvd, Suite 418, Detroit, MI 48202-3096 | 2005-10-16 |
| 1073124772 | Crystal A. Jackson, Ph.d., LLP, LLC | Psychologist | 3011 W Grand Blvd, Detroit, MI 48202-3096 | 2020-08-14 |
| 1841707023 | Gospel Against Aids Inc | Community Health Worker | 3011 W Grand Blvd, Detroit, MI 48202-3096 | 2018-01-09 |
| 1316482870 | New Center Medical PC | Emergency Medicine | 3011 W Grand Blvd, Suite 308, Detroit, MI 48202-3096 | 2016-12-19 |
| 1861934168 | Natlab Inc | Clinical Medical Laboratory | 3011 W Grand Blvd, Suite 309, Detroit, MI 48202-3096 | 2016-11-17 |
| 1427501733 | Detroit Public Schools Community District | Local Education Agency (LEA) | 3011 W Grand Blvd, 11th Floor Fisher Building, Detroit, MI 48202-3096 | 2016-08-03 |
| 1518326610 | Gabriel Williams Dds PC | Dentist | 3011 W Grand Blvd, Suite 867, Detroit, MI 48202-3096 | 2016-02-17 |
| 1649645284 | Tcw Surgical Center LLC | Clinic/Center | 3011 W Grand Blvd, Suite 305, Detroit, MI 48202-3096 | 2015-12-08 |
| 1720469893 | Suprene Home Care Givers Agency LLC | Home Health | 3011 W Grand Blvd, 858, Detroit, MI 48202-3096 | 2015-06-15 |
| 1275925950 | Health Pro LLC | Pharmacy | 3011 W Grand Blvd, Suite 300, Detroit, MI 48202-3096 | 2015-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| 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 |
|---|---|---|---|---|
| 1568889442 | Blue Water Pain Specialists PC | Pain Medicine | 22101 Moross Rd, Detroit, MI 48236-2148 | 2014-03-28 |
| 1225301260 | Infinity Pain Management Group Pllc | Pain Medicine | 16921 W Warren Ave Ste B, Detroit, MI 48228-3504 | 2012-02-22 |
| 1679647184 | Vidyachandra R. Vakhariya | Pain Medicine | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2006-11-17 |
| 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 |
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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.