EAST WEST PAIN INSTITUTE, PLLC (NPI# 1174992945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174992945 |
| Entity Type | Organization |
| Organization Name | EAST WEST PAIN INSTITUTE, PLLC |
| Practice Address |
425 N Park Blvd Suite 201 Lake Orion MI 48362-3189 |
| Practice Telephone | 2487092526 |
| Mailing Telephone | 2487092526 |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2015-09-29 |
| Authorized Official Name | MR. SHUSHOVAN CHAKRABORTTY (PRESIDENT) |
| Authorized Official Telephone | 2487092526 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
425 N PARK BLVD SUITE 201 |
| City | LAKE ORION |
| State | MI |
| Zip Code | 48362-3189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669488714 | Annmarie Raguse | Physical Therapist | 425 N Park Blvd, Suite 100, Lake Orion, MI 48362-3189 | 2006-07-31 |
| 1023414851 | Oakland Sports Chiropractic | Clinic/Center | 425 N Park Blvd, Suite 200, Lake Orion, MI 48362-3189 | 2014-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295275840 | Lori Tunney | Social Worker | 1175 Ridgeview Cir, Lake Orion, MI 48362 | 2017-03-01 |
| 1720300932 | Amanda Norrow | Occupational Therapist | 700 Knibbe Rd, Lake Orion, MI 48362 | 2010-02-16 |
| 1700061488 | Amy Lynn Santus | Counselor | 45 N Lapeer St, Lake Orion, MI 48362 | 2007-12-31 |
| 1992883193 | Dori Ann Freeland | Dentist | 436 South Broadway, Lake Orion, MI 48362 | 2006-11-02 |
| 1184647042 | Rocco Ciccone | Dentist | 792 South Lapear Rd., Lake Orion, MI 48362 | 2006-07-25 |
| 1922053685 | James J Bauer | Emergency Medicine | 785 North Lapeer Rd, Suite 100, Lake Orion, MI 48362 | 2006-05-23 |
| 1619453263 | Lauren Yearego | Counselor | 81 Indianwood Rd, Suite 2, Lake Orion, MI 48362 | 2018-07-17 |
| 1326013293 | Malgorzata Sobilo | Internal Medicine | 785 N Lapeer Rd, Lake Orion, MI 48362 | 2006-02-22 |
| 1588953335 | Diana Therese Kitzmiller | Psychologist | 55 Maumee Trl, Lake Orion, MI 48362-1221 | 2011-04-01 |
| 1215442652 | Brightstone Occupational Therapy Consultants, LLC | Occupational Therapist | 128 Menasha Trl, Lake Orion, MI 48362-1224 | 2017-12-07 |
| Find all providers in zip 48362 | ||||
| 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 |
|---|---|---|---|---|
| 1871931592 | Ihsan Asbahi | Anesthesiology | 1234 S Lapeer Rd, Lake Orion, MI 48360 | 2013-06-05 |
| 1649740747 | Michigan Institute for Interventional Pain Pllc | Anesthesiology | 1234 S Lapeer Rd, Lake Orion, MI 48360-1433 | 2018-11-30 |
| 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 |
| 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 |
| 1831491851 | Ana Pain Management PC | Anesthesiology | 42645 Garfield Rd Ste 103, Clinton Township, MI 48038-5022 | 2010-11-23 |
| Find all providers with the same taxonomy | ||||
| City | LAKE ORION |
| Zip Code | 48362 |
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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.