ST CLAIR PAIN CONSULTANTS PC (NPI# 1801347398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801347398 |
| Entity Type | Organization |
| Organization Name | ST CLAIR PAIN CONSULTANTS PC |
| Practice Address |
29751 Little Mack Ave Suite A Roseville MI 48066-6503 |
| Mailing Address |
432 S Washington Ave Unit 1101 Royal Oak MI 48067-3854 |
| Practice Telephone | 3135800015 |
| Practice Fax Number | 3138846313 |
| Mailing Telephone | 3135800015 |
| Mailing Fax Number | 3138846313 |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |
| Authorized Official Name | DR. JOHN G GHANEM (PRESIDENT) |
| Authorized Official Telephone | 3135800015 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
29751 LITTLE MACK AVE SUITE A |
| City | ROSEVILLE |
| State | MI |
| Zip Code | 48066-6503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538169297 | Paul Christopher Nehra | Specialist | 29751 Little Mack Ave, Suite B, Roseville, MI 48066-2238 | 2005-07-26 |
| 1023484839 | Hillary Brass | Advanced Practice Midwife | 29751 Little Mack Ave, Suite B, Roseville, MI 48066-6503 | 2015-08-15 |
| 1033463377 | Andrea Jordan Altomaro | Registered Nurse | 29751 Little Mack Ave, Suite B, Roseville, MI 48066-6503 | 2012-11-08 |
| 1437358421 | Wendy Renee Olsen | Advanced Practice Midwife | 29751 Little Mack Ave, Suite B, Roseville, MI 48066-6503 | 2007-07-11 |
| 1629297270 | Michael Dennis Mahoney | Obstetrics & Gynecology | 29751 Little Mack Ave, Suite B, Roseville, MI 48066-6503 | 2007-04-24 |
| 1750415915 | Eastside Gynecology-obstetrics, P.C. | Obstetrics & Gynecology | 29751 Little Mack Ave, Suite B, Roseville, MI 48066-6503 | 2007-03-16 |
| 1295889327 | Debra J. Rossie | Midwife | 29751 Little Mack Ave, Suite B, Roseville, MI 48066-6503 | 2007-01-23 |
| 1710979638 | Edward Pazuchowski | Family Medicine | 29751 Little Mack Ave, Roseville, MI 48066-6503 | 2005-08-17 |
| 1396746194 | Margot G Abundis | Obstetrics & Gynecology | 29751 Little Mack Ave, Ste B, Roseville, MI 48066-6503 | 2005-08-03 |
| 1558362251 | Elizabeth D Somerset | Obstetrics & Gynecology | 29751 Little Mack Ave, Ste B, Roseville, MI 48066-6503 | 2005-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1053963033 | Convenient Rv PC | Dentist | 19551 E. 10 Mile Rd, Roseville, MI 48066 | 2019-07-10 |
| 1063914539 | Colleen Meriweather | Registered Nurse | 27300 Spruce, Rosevilel, MI 48066 | 2018-03-01 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1225561400 | Eugenia Dillard | Counselor | 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 | 2017-04-05 |
| 1932651338 | Julie Plichota | Physical Therapist | 31120 Gratiot Ave, Roseville, MI 48066 | 2016-11-01 |
| 1699221325 | Jaquenta Glasker | Technician, Other | 26778 Rosewood, Roseville, MI 48066 | 2016-09-01 |
| 1609296144 | Peter Jajou | Dermatology | 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 | 2014-04-23 |
| 1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
| Find all providers in zip 48066 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235529140 | Delariva Md Professional Corporation | Anesthesiology | 3477 Castle Creek Ct, Roseville, CA 95661-7354 | 2015-01-29 |
| 1952731895 | Midwest Med Management, Inc | Anesthesiology | 1935 County Road B2 W, Ste 165, Roseville, MN 55113-2729 | 2013-11-13 |
| 1760821987 | Helen Chan | Anesthesiology | 2 Medical Plaza Dr Ste 205, Roseville, CA 95661 | 2013-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629568811 | Flint Pain Specialists Pllc | Anesthesiology | 1345 Willowdale Ct Ste B, Flint, MI 48532-4737 | 2018-05-14 |
| 1548624984 | Ayman Tarabishy Md Pllc | Anesthesiology | 400 Plymouth Rd, F2, Plymouth, MI 48170-1482 | 2016-04-12 |
| 1457733008 | John Sung Ha | Anesthesiology | 325 E Eisenhower Pkwy Ste 310, Ann Arbor, MI 48108-3307 | 2015-06-19 |
| 1841603362 | Clinton Pain and Anesthesia Plc | Anesthesiology | 16100 19 Mile Road, Clinton Township, MI 48038 | 2014-06-03 |
| 1255743738 | Advanced Pain Specialists | Anesthesiology | 18100 Oakwood Blvd Ste 203, Dearborn, MI 48124-4085 | 2014-06-02 |
| 1871931592 | Ihsan Asbahi | Anesthesiology | 1234 S Lapeer Rd, Lake Orion, MI 48360 | 2013-06-05 |
| 1265876403 | Medical Business Consultants, Ltd. | Anesthesiology | 63474 Zabel Shores Rd, Sturgis, MI 49091-9371 | 2013-04-18 |
| 1407198807 | Kevin M. Nemeth | Anesthesiology | 2060 East Paris Ave Se Ste 200, Grand Rapids, MI 49546-6113 | 2013-03-23 |
| 1891054573 | Eduardo Icaza | Anesthesiology | 36622 Five Mile Rd Ste 101, Livonia, MI 48154-1900 | 2012-05-15 |
| 1972884724 | Martin Ilan Noveck | Anesthesiology | 9255 Allen Rd, Clarkston, MI 48348-2726 | 2011-09-07 |
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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.