MICHIGAN SPINE INSTITUTE, PC (NPI# 1831381227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831381227 |
| Entity Type | Organization |
| Organization Name | MICHIGAN SPINE INSTITUTE, PC |
| Practice Address |
1819 E Big Beaver Rd Suite 210 Troy MI 48083-2015 |
| Mailing Address |
P.o. Box 674134 Detroit MI 48267-4134 |
| Practice Telephone | 2487409500 |
| Mailing Telephone | 2487409500 |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2008-10-28 |
| Authorized Official Name | CRAIG D PEPPLER (OWNER) |
| Authorized Official Telephone | 2487409500 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBSM | 390F338520 | 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 |
| 1154582112 | Miss Wednesday Hall | Pain Medicine | 1819 E Big Beaver Rd, Suite 210, Troy, MI 48083-2015 | 2008-06-23 |
| 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 |
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| 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 |
|---|---|---|---|---|
| 1992274450 | Spine & Back Recovery Inc | Pain Medicine | 1975 E Maple Rd, Troy, MI 48083-4214 | 2018-11-14 |
| 1144438029 | Upper Valley Pain Clinic LLC | Pain Medicine | 180 S Stanfield Rd, Suite B, Troy, OH 45373-0106 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1952448417 | Pain Clinic of Michigan PC | Pain Medicine | 5440 15 Mile Rd, Sterling Heights, MI 48310-5111 | 2007-01-31 |
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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.