THE PAIN CENTER USA PLLC (NPI# 1891015160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891015160 |
| Entity Type | Organization |
| Organization Name | THE PAIN CENTER USA PLLC |
| Practice Address |
27423 Van Dyke Ave Warren MI 48093-2867 |
| Practice Telephone | 5867574000 |
| Practice Fax Number | 5867559880 |
| Mailing Telephone | 5867574000 |
| Mailing Fax Number | 5867559880 |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2010-07-14 |
| Authorized Official Name | DR. RAJENDRA BOTHRA (OWNER/PRESIDENT) |
| Authorized Official Telephone | 5867574000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659683134 | The Pain Center Usa Pllc | Durable Medical Equipment & Medical Supplies | 22480 Kelly Rd, Suite 100, Eastpointe, MI 48021-2623 | 2010-07-13 |
| 1508996653 | The Pain Center Usa Pllc | Pain Medicine | 27423 Van Dyke Ave, Warren, MI 48093-2867 | 2007-03-07 |
| 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 |
| 1013385046 | Interventional Pain Center Pllc | Clinic/Center | 27423 Van Dyke Ave, Warren, MI 48093-2867 | 2015-09-08 |
| 1164729695 | Vishal Vrajlal Patel | Physical Therapist | 27423 Van Dyke Ave, Warren, MI 48093-2867 | 2011-02-18 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
| 1831689405 | Rivana Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 4208 E 14 Mile Rd, Warren, MI 48092-4325 | 2018-05-18 |
| 1508367111 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 25225 Schoenherr Rd, Warren, MI 48089 | 2018-02-28 |
| 1134629496 | Homepro Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 3200 E 12 Mile Rd Ste 203b, Warren, MI 48092-5621 | 2018-02-13 |
| 1538668272 | American Home Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 3200 E 12 Mile Rd Ste 200, Warren, MI 48092-5621 | 2018-02-08 |
| 1053834762 | Befitting You, LLC | Durable Medical Equipment & Medical Supplies | 28800 Ryan Rd Ste 325, Warren, MI 48092-4283 | 2017-07-25 |
| 1255737235 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 150 E Market St Ste 100, Warren, OH 44481-1141 | 2014-11-18 |
| 1801226063 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 29176 Van Dyke Ave, Warren, MI 48093-6764 | 2013-11-25 |
| 1780019463 | J M Clemente Co | Durable Medical Equipment & Medical Supplies | 180 N Park Ave, Warren, OH 44481-1126 | 2013-09-12 |
| 1770837296 | Michigan Home Exteriors | Durable Medical Equipment & Medical Supplies | 11444 Kaltz Ave, Warren, MI 48089 | 2012-11-06 |
| Find all providers in WARREN | ||||
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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.