DR. MISS WEDNESDAY HALL (NPI# 1154582112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154582112 |
| Entity Type | Individual |
| Full Name | DR. MISS WEDNESDAY HALL |
| Credential | D.O. |
| Practice Address |
1819 E Big Beaver Rd Suite 210 Troy MI 48083-2015 |
| Practice Telephone | 2486809000 |
| Practice Fax Number | 2486802929 |
| Mailing Telephone | 2486809000 |
| Mailing Fax Number | 2486802929 |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2013-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
5101020142 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | LICENSE | 5101020142 | 01 |
| Street Address |
1819 E BIG BEAVER RD SUITE 210 |
| City | TROY |
| State | MI |
| Zip Code | 48083-2015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235103771 | Jeff Scott Pierce | Physical Medicine & Rehabilitation | 1819 E Big Beaver Rd, Suite 219, Troy, MI 48083-2015 | 2006-02-13 |
| 1992247779 | Dayna Buiting | Nurse Practitioner | 1819 E Big Beaver Rd, Troy, MI 48083 | 2016-11-10 |
| 1912367293 | Ryan Bugni | Physical Therapy Assistant | 1819 E Big Beaver Rd, Ste 200, Troy, MI 48083-2015 | 2016-03-01 |
| 1659769032 | Asa Jude-vassallo | Physician Assistant | 1819 E Big Beaver Rd, Suite 210, Troy, MI 48083-2015 | 2015-01-07 |
| 1235532839 | Stephanie Hargraves | Physician Assistant | 1819 E Big Beaver Rd, Troy, MI 48083-2015 | 2014-09-27 |
| 1326467416 | Teofil Buzas | Physical Therapist | 1819 E Big Beaver Rd, Suite 200, Troy, MI 48083-2015 | 2014-04-16 |
| 1417221722 | Julianne Kendra Smith | Physical Therapist | 1819 E Big Beaver Rd, Ste 200, Troy, MI 48083-2015 | 2012-03-05 |
| 1639494602 | All Care Medical Services PC | Physical Medicine & Rehabilitation | 1819 E Big Beaver Rd, Suite 210, Troy, MI 48083-2015 | 2010-04-02 |
| 1831381227 | Michigan Spine Institute, PC | Pain Medicine | 1819 E Big Beaver Rd, Suite 210, Troy, MI 48083-2015 | 2007-08-10 |
| 1184766776 | Benjamin Heath | Physician Assistant | 1819 E Big Beaver Rd, Troy, MI 48083-2015 | 2007-02-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417420449 | Thapasvi Muttirevula | Physical Therapist | 2422 Cedar Knoll Dr, Troy, MI 48083 | 2019-01-02 |
| 1114418290 | Ann Katchke | Physical Therapist | 3179 Livernois Rd, Troy, MI 48083 | 2018-05-23 |
| 1518485945 | Risa Rae Mendelson | Counselor | 1059 Owendale Street, Troy, MI 48083 | 2017-09-06 |
| 1497277115 | Gassan Asadi | Pharmacist | 215 E Big Beaver Rd Ste 500, Troy, MI 48083 | 2017-07-14 |
| 1528510328 | Dylan Skye Polasko | Behavioral Analyst | 2221 E 4th St, #101, Troy, MI 48083 | 2016-10-27 |
| 1235683061 | Sadia Ghazi | Technician, Other | 3178 Daley Dr., Troy, MI 48083 | 2016-08-10 |
| 1548664345 | Amber Leigh Ernst | Social Worker | 1225 E. Big Beaver Road, Troy, MI 48083 | 2014-10-22 |
| 1356782411 | Michelle Louise Knoblock | Nurse Anesthetist, Certified Registered | 1560 E Maple Rd Ste 100, Troy, MI 48083 | 2013-07-17 |
| 1437400728 | Oakland Physicians Surgery Center | Clinic/Center | 1560 E. Maple Road, Suite 100, Troy, MI 48083 | 2012-09-26 |
| 1861748238 | Pro Med Substance Abuse Program LLC | Psychologist | 2891 E. Maple Rd. Suite 200, Troy, MI 48083 | 2012-08-03 |
| Find all providers in zip 48083 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730710369 | Regen Ortho Spine & Pain LLC | Pain Medicine | 60 Business Park Dr Ste A, Troy, MO 63379-2828 | 2020-02-02 |
| 1942496443 | Sunrise Institute for Pain Management P.C. | Pain Medicine | 6535 Rochester Rd, Suite 102, Troy, MI 48085-1362 | 2007-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558903294 | Comprehensive Pain Specialists, Pllc | Pain Medicine | 4302 Bay City Rd, Midland, MI 48642-6014 | 2019-10-15 |
| 1437715232 | Comprehensive Pain Specialists, Pllc | Pain Medicine | 705 E Frank St, Caro, MI 48723 | 2019-05-16 |
| 1083175913 | Bella Treatment Center PC | Pain Medicine | 28763 Northwestern Hwy Ste 100, Southfield, MI 48034-1842 | 2019-03-25 |
| 1245795848 | Advanced Pain Management Specialists, LLC | Pain Medicine | 46325 W 12 Mile Rd Ste 335, Novi, MI 48377-2464 | 2019-02-07 |
| 1356738686 | Genesee Pain Associates PC | Pain Medicine | 4468 Oakbridge Dr, Flint, MI 48532-5422 | 2015-04-24 |
| 1457745150 | Strategy Anesthesia Michigan Pllc | Pain Medicine | 13460 Fort St, Southgate, MI 48195-1138 | 2015-03-20 |
| 1407115884 | Michiana Spine, Sports & Occupational Rehab, PC | Pain Medicine | 2500 Niles Rd Ste 3, Saint Joseph, MI 49085-3225 | 2012-05-07 |
| 1386902013 | Michiana Spine, Sports & Occupational Rehab, PC | Pain Medicine | 24 N Saint Joseph Ave Ste B, Niles, MI 49120-2263 | 2012-05-01 |
| 1225302821 | Pain Clinic Management Group, Pllc | Pain Medicine | 35634 Dequindre Rd, Sterling Heights, MI 48310-4288 | 2012-02-28 |
| 1740567163 | Northville Pain Specialists Plc | Pain Medicine | 215 E. Main Street, Suite 201, Northville, MI 48167-1686 | 2011-11-14 |
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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.