FADI DELLY, MD PC


Address: 2211 Fort St, Wyandotte, MI 48192-4135
Phone: 7343570505

FADI DELLY, MD PC (NPI# 1992170187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992170187
Entity Type Organization
Organization Name FADI DELLY, MD PC
Other Organization Name PREMIER NEUROLOGY & PAIN SPECIALISTS
Practice Address 2211 Fort St
Wyandotte
MI 48192-4135
Practice Telephone 7343570505
Practice Fax Number 7343570506
Mailing Telephone 7343570505
Mailing Fax Number 7343570506
Enumeration Date 2015-12-14
Last Update Date 2019-06-13
Authorized Official Name MR. FADI DELLY (OWNER)
Authorized Official Telephone 2487559499
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084N0008X Psychiatry & Neurology
Specialization: Neuromuscular Medicine
4301094922 MI Allopathic & Osteopathic Physicians
N 2084N0400X Psychiatry & Neurology
Specialization: Neurology
4301094922 MI Allopathic & Osteopathic Physicians
N 2084P2900X Psychiatry & Neurology
Specialization: Pain Medicine
4301094922 MI Allopathic & Osteopathic Physicians
Y 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
4301094922 MI Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Premier Neurology & Pain Specialists Doing Business As Name - Organization

Office Location

Street Address 2211 FORT ST
City WYANDOTTE
State MI
Zip Code 48192-4135

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104137967 Fadi H Delly Psychiatry & Neurology 2211 Fort St, Wyandotte, MI 48192-4135 2010-06-27
1497375091 Gabrielle Monique Nadeau Nurse Practitioner 2211 Fort St, Wyandotte, MI 48192-4135 2020-04-23
1821658378 Caitlin Lopez Nurse Practitioner 2211 Fort St, Wyandotte, MI 48192-4135 2019-06-17
1992225288 Mary Elizabeth Chlebek Nurse Practitioner 2211 Fort St, Wyandotte, MI 48192-4135 2017-06-27
1164871216 Conquest Pain Management, LLC Nurse Anesthetist, Certified Registered 2211 Fort St, Wyandotte, MI 48192-4135 2016-06-09
1780099275 Julie Anne Sweeny Nurse Practitioner 2211 Fort St, Wyandotte, MI 48192-4135 2014-06-24
1578902425 Meds & More, Inc. Pharmacy 2211 Fort St, Wyandotte, MI 48192-4135 2013-06-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912541673 Wayne Pharma Pharmacy 974 Ford Ave, Wyandotte, MI 48192 2019-11-05
1598226029 Alicia Paulette Flores Emergency Medicine Henry Ford Wyandotte Hosptial, Medical Education, 2333 Biddle Ave, Wyandotte, MI 48192 2019-03-27
1912483819 Fast Care Pharmacy LLC Pharmacy 1209 Fort St, Wyandotte, MI 48192 2018-07-13
1518464106 Tyson Reed Mckechnie Emergency Medicine Henry Ford Wyandotte Hospital, Medical Education Dept., 2333 Biddle Ave., Wyandotte, MI 48192 2018-04-10
1275038572 Joanna Fourtounis Emergency Medicine Henry Ford Wyandotte Medical Education Office, 2333 Biddle Ave, Wyandotte, MI 48192 2018-03-28
1841794120 Henry Tan Student in an Organized Health Care Education/Training Program Henry Ford Wyandotte Hospital, Medical Education Depart, 2333 Biddle Ave, Wyandotte, MI 48192 2018-03-21
1174042857 Ashley Marie Kobylasz Social Worker 1506 16th Street, Wyandotte, MI 48192 2017-09-14
1831630631 Vanessa Majeski Surgery 8333 Biddle Ave, Henry Ford Wyandotte Hospital, Wyandotte, MI 48192 2017-03-13
1346796984 Jordan Yagiela Community/Behavioral Health 1940 Ludington Street, Wyandotte, MI 48192 2016-09-01
1649642505 Superior Visions Inc In Home Supportive Care 2709 Fort Street, Wyandotte, MI 48192 2015-10-30
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Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356419543 Great Lakes Pain Management Md, PC Pain Medicine 1404 Eureka Ave, Wyandotte, MI 48192 2006-12-04

Providers in the same taxonomy and state

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
Find all providers with the same taxonomy

Competitor

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City WYANDOTTE
Zip Code 48192

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Dataset Information

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.

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