NSA PAIN SERVICES OF MICHIGAN III, PLLC (NPI# 1376169524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376169524 |
Entity Type | Organization |
Organization Name | NSA PAIN SERVICES OF MICHIGAN III, PLLC |
Practice Address |
10000 Telegraph Rd Taylor MI 48180-3330 |
Mailing Address |
6225 N State Highway 161 Ste 200 Irving TX 75038-2241 |
Practice Telephone | 2146870001 |
Practice Fax Number | 9725182100 |
Mailing Telephone | 2146870001 |
Mailing Fax Number | 9725182100 |
Enumeration Date | 2020-06-23 |
Last Update Date | 2020-06-23 |
Authorized Official Name | DR. BRIAN P WOODS (CHIEF MEDICAL OFFICER) |
Authorized Official Telephone | 2146870015 |
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 |
10000 TELEGRAPH RD |
City | TAYLOR |
State | MI |
Zip Code | 48180-3330 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245218791 | Daniel Gadzinski | Emergency Medicine | 10000 Telegraph Rd, Emergency Medicine Department, Taylor, MI 48180-3330 | 2006-01-05 |
1770184301 | Leonard Lee Stephenson | Registered Nurse | 10000 Telegraph Rd, Taylor, MI 48180-3330 | 2020-11-02 |
1871193482 | Sarah E Grim | Physical Therapist | 10000 Telegraph Rd, Taylor, MI 48180-3330 | 2020-11-01 |
1497379143 | Ryan J Haley | Physical Medicine & Rehabilitation | 10000 Telegraph Rd, Taylor, MI 48180-3330 | 2020-05-28 |
1487276291 | Shaima Khandaker | Physical Medicine & Rehabilitation | 10000 Telegraph Rd, Taylor, MI 48180-3330 | 2020-05-14 |
1902428113 | Darryl Jack Chow | Physical Medicine & Rehabilitation | 10000 Telegraph Rd, Taylor, MI 48180-3330 | 2020-05-11 |
1114548658 | Rachel Reeves | Physical Medicine & Rehabilitation | 10000 Telegraph Rd, Taylor, MI 48180-3330 | 2020-05-06 |
1902427578 | Alexandra Fry | Physical Medicine & Rehabilitation | 10000 Telegraph Rd, Taylor, MI 48180-3330 | 2020-05-05 |
1104456003 | Cynthia Kalich Norscia | Nurse Practitioner | 10000 Telegraph Rd, Taylor, MI 48180-3330 | 2020-01-19 |
1063050730 | Breanna Celisse Daniel | Occupational Therapist | 10000 Telegraph Rd, Taylor, MI 48180-3330 | 2019-12-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568920288 | Kenneth Harlan | Physical Therapist | 22606 Northline Rd., Taylor, MI 48180 | 2019-03-12 |
1790270916 | Ryan Thomas Sankovic | Physical Medicine & Rehabilitation | 10000 Telegraph Road, Taylor, MI 48180 | 2018-06-29 |
1538658026 | Deborah Moseley | Physical Therapist | 21308 Eureka Rd, Taylor, MI 48180 | 2018-05-09 |
1366944837 | Cheryl Lee Ivie | Nurse Practitioner | 26650 Eureka Rd Suite C, Taylor, MI 48180 | 2018-03-01 |
1619407376 | Markesha Lynn Smith | Case Manager/Care Coordinator | 26550 Eureka Road, Suite C, Taylor, MI 48180 | 2017-06-15 |
1376072645 | Chris James Clark | Massage Therapist | 11178 Katrine, Taylor, MI 48180 | 2017-06-08 |
1245767151 | Alexandre John Mazar | Student in an Organized Health Care Education/Training Program | 10000 Telegraph Road - Beaumont Taylor Hospital, Physical Medicine and Rehabilitation Department, Taylor, MI 48180 | 2017-05-23 |
1063949030 | Jared David Mccallum | Physical Medicine & Rehabilitation | Beaumont Hospital, Taylor - Attn: Chris L Birkenhauer, 10000 Telegraph Ro, Taylor, MI 48180 | 2017-05-22 |
1972039667 | Chante Lowman | Specialist/Technologist | 23774 Crisler St., Taylor, MI 48180 | 2017-05-02 |
1477003036 | Latricia Osborne | Licensed Practical Nurse | 94060e. Pickwick Circle, Taylor, MI 48180 | 2016-10-07 |
Find all providers in zip 48180 |
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 |
---|---|---|---|---|
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 |
1871931592 | Ihsan Asbahi | Anesthesiology | 1234 S Lapeer Rd, Lake Orion, MI 48360 | 2013-06-05 |
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 |
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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.