STAR PAIN MANAGEMENT & REHAB LLC (NPI# 1023541067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023541067 |
| Entity Type | Organization |
| Organization Name | STAR PAIN MANAGEMENT & REHAB LLC |
| Practice Address |
27483 Dequindre Rd Madison Heights MI 48071-3491 |
| Mailing Address |
Po Box 71719 Madison Heights MI 48071-0719 |
| Practice Telephone | 5862038202 |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-04-06 |
| Authorized Official Name | MALAK HIJAZI (OWNER) |
| Authorized Official Telephone | 3133750755 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
27483 DEQUINDRE RD |
| City | MADISON HEIGHTS |
| State | MI |
| Zip Code | 48071-3491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528585130 | Seton Health Corporation of Southeastern Michigan | Clinic/Center | 27483 Dequindre Rd, Madison Heights, MI 48071-3491 | 2017-08-24 |
| 1497178867 | Michigan Healthcare Professionals | Hearing Aid Equipment | 27483 Dequindre Rd, Suite 201, Madison Heights, MI 48071-3491 | 2014-01-21 |
| 1992126031 | Michigan Healthcare Professionals, P.C. | Prosthetic/Orthotic Supplier | 27483 Dequindre Rd, Suite 306, Madison Heights, MI 48071-3491 | 2013-12-16 |
| 1699010082 | Michigan Healthcare Professionals PC | Audiologist | 27483 Dequindre Rd, Suite 201, Madison Heights, MI 48071-3491 | 2012-12-11 |
| 1356637037 | Gretchen Dunford | Surgery | 27483 Dequindre Rd, Suite 301, Madison Heights, MI 48071-3491 | 2011-06-21 |
| 1215191275 | Ent Surgical Assoc PC | Audiologist-Hearing Aid Fitter | 27483 Dequindre Rd, Suite 201, Madison Heights, MI 48071-5711 | 2008-07-17 |
| 1033384490 | Omg 1pc | Nuclear Medicine | 27483 Dequindre Rd, Suite 101, Madison Heights, MI 48071-3491 | 2008-04-28 |
| 1316111479 | Doctor Howard L Dubin PC | Internal Medicine | 27483 Dequindre Rd, Suite 205, Madison Heights, MI 48071-3491 | 2008-04-18 |
| 1093990889 | Oakland Medical Group PC | Physician Assistant | 27483 Dequindre Rd, Suite 302, Madison Heights, MI 48071-3491 | 2007-12-31 |
| 1326231325 | Syed Mahmood Ali Khan | Radiology | 27483 Dequindre Rd, Suite 101, Madison Heights, MI 48071-3491 | 2007-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918831 | United Medical Laboratory LLC | Clinical Medical Laboratory | 30675 Stephenson Hwy, Suite B, Madison Heights, MI 48071 | 2020-09-25 |
| 1033776372 | Terry Ky-sieu Tran | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd., Madison Height, MI 48071 | 2019-05-22 |
| 1942865894 | Jordan Lee Stav | Student in an Organized Health Care Education/Training Program | Sjmo Emergency Medicine Residency Program, 27351 Dequindre Rd, Madison Heights, MI 48071 | 2019-05-07 |
| 1538624960 | Holistic Therapy Institute Physical Therapy, Inc. | Physical Therapist | 30201 Dequidre Rd Suite1, Madison Hts, MI 48071 | 2019-02-11 |
| 1720558216 | Kevin Luce | Physical Therapy Assistant | 1433 E 12 Mile Road, Madison Heights, MI 48071 | 2018-11-28 |
| 1861974297 | Olubunmi Oluremi Aluko | Physical Therapist | 1410 E.14 Mile Road, Madison Heights, MI 48071 | 2018-09-01 |
| 1558859579 | Leslie G Lafer, Dopllc | Obstetrics & Gynecology | 1437 E 12 Mile Road, Building D, Madison Heights, MI 48071 | 2018-04-25 |
| 1588161020 | Daniel Eugene Geer | Physical Therapist | 1410 E 14 Mile Road, Madison Heights, MI 48071 | 2018-04-11 |
| 1881100931 | Medshop Pharmacy LLC | Pharmacy | 30549 Stephenson Hwy Ste B, Madison Heights, MI 48071 | 2017-12-26 |
| 1730602004 | Ali Bazzy | Nurse Practitioner | 27483 Dequindre Suite 304, Madison Hgts, MI 48071 | 2017-07-19 |
| Find all providers in zip 48071 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720629157 | Commerce Sports and Spine Pllc | Physical Medicine & Rehabilitation | 29877 Telegraph Rd Ste 400, Southfield, MI 48034-7661 | 2019-10-07 |
| 1710461421 | Pureland Physical Therapy | Physical Medicine & Rehabilitation | 45555 Mound Rd, Shelby Twp, MI 48317 | 2018-09-18 |
| 1861930109 | Excel Physical Medicine and Rehabilitation PC | Physical Medicine & Rehabilitation | 6089 W Maple Rd, Suite 250a, West Bloomfield, MI 48322-2286 | 2017-02-07 |
| 1447611926 | Detroit Institute of Pain & Musculoskeletal Medicine | Physical Medicine & Rehabilitation | 13510 Michigan Ave, Dearborn, MI 48126-3511 | 2016-03-11 |
| 1710355482 | Michigan Center for Regenerative Medicine Pllc | Physical Medicine & Rehabilitation | 1349 S Rochester Rd Ste 130, Rochester Hills, MI 48307-3152 | 2015-09-10 |
| 1396128021 | Michael Bonnette | Physical Medicine & Rehabilitation | 18312 Middlebelt Rd, Livonia, MI 48152-5007 | 2015-06-30 |
| 1134460439 | Adam L Powell | Physical Medicine & Rehabilitation | 1675 E Mount Garfield Rd, Muskegon, MI 49444 | 2013-03-12 |
| 1629328232 | Michigan Comprehensive Spine & Rehab PC | Physical Medicine & Rehabilitation | 29877 Telegraph Rd Ste 403, Southfield, MI 48034-1332 | 2012-09-12 |
| 1083996102 | Winchester Services LLC | Physical Medicine & Rehabilitation | 18470 Santa Ann Ave., Lathrup Village, MI 48076-4525 | 2011-09-14 |
| 1508008814 | Nmrs, P.C. | Physical Medicine & Rehabilitation | 267 Creekside Dr, Suite 200, Petoskey, MI 49770-7609 | 2009-04-01 |
| Find all providers with the same taxonomy | ||||
| City | MADISON HEIGHTS |
| Zip Code | 48071 |
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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.