MICHIGAN PAIN INSTITUTE, PLLC (NPI# 1437257557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437257557 |
| Entity Type | Organization |
| Organization Name | MICHIGAN PAIN INSTITUTE, PLLC |
| Other Organization Name | MICHIGAN PAIN INSITUTE, PC |
| Practice Address |
2006 Hogback Rd Suite 5 Ann Arbor MI 48105-9750 |
| Practice Telephone | 7347862317 |
| Mailing Telephone | 7347862317 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | TRACI COFFMAN (CHAIR) |
| Authorized Official Telephone | 7342632395 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | ANESTHESIA ASSOCIATES OF MICHIGAN, PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
4301058939 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | RAILROAD MEDICARE PIN | CF9179 | 01 |
| MI | BCBS | 0H11063 | 01 |
| MI | MEDICARE | 0M2866 | 01 |
| Other Name | Type Code |
|---|---|
| Michigan Pain Insitute, PC | Former Legal Business Name - Organization |
| Michigan Pain Institute, PC | Former Legal Business Name - Organization |
| Street Address |
2006 HOGBACK RD SUITE 5 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48105-9750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902854813 | Merajuddin Khan | Anesthesiology | 2006 Hogback Rd, 5a, Ann Arbor, MI 48105-9750 | 2006-05-04 |
| 1306377056 | Avni Mehta | Student in an Organized Health Care Education/Training Program | 2006 Hogback Rd, Suite 1, Ann Arbor, MI 48105-9750 | 2017-03-24 |
| 1710428974 | Steven Hull | Student in an Organized Health Care Education/Training Program | 2006 Hogback Rd, Ann Arbor, MI 48105-9750 | 2017-03-20 |
| 1033650445 | Alexander Molter | Student in an Organized Health Care Education/Training Program | 2006 Hogback Rd, Suite 1, Ann Arbor, MI 48105-9750 | 2017-03-17 |
| 1912441361 | Navdeep Singh | Nurse Practitioner | 2006 Hogback Rd, Suite 5a, Ann Arbor, MI 48105-9750 | 2016-12-05 |
| 1073063400 | St Mary Mercy Hospital Professional | Community/Behavioral Health | 2006 Hogback Rd, Suite 1, Ann Arbor, MI 48105-9750 | 2016-10-10 |
| 1902260094 | Thomas A Cerrone | Psychiatry & Neurology | 2006 Hogback Rd, Suite 1, Ann Arbor, MI 48105-9750 | 2016-04-05 |
| 1255796975 | Lindsey Patricia Roelant | Registered Nurse | 2006 Hogback Rd, Suite 5a, Ann Arbor, MI 48105-9750 | 2015-12-22 |
| 1649698135 | Ronald Mark Liebman | Psychiatry & Neurology | 2006 Hogback Rd, Suite 1, Ann Arbor, MI 48105 | 2014-04-01 |
| 1922340033 | Scott Alexander Siskind | Student in an Organized Health Care Education/Training Program | 2006 Hogback Rd, Suite 1, Ann Arbor, MI 48105-9750 | 2013-03-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
| 1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
| 1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
| 1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
| Find all providers in zip 48105 | ||||
| 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 |
|---|---|---|---|---|
| 1457733008 | John Sung Ha | Anesthesiology | 325 E Eisenhower Pkwy Ste 310, Ann Arbor, MI 48108-3307 | 2015-06-19 |
| 1033521356 | Tyler Goetz | Anesthesiology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2014-05-21 |
| 1114158722 | Sharad B Patel | Anesthesiology | 2900 Golfside Dr, Suite-2, Ann Arbor, MI 48108-1410 | 2009-07-30 |
| 1174759930 | Peter Stiles | Anesthesiology | 1500 E Medical Center Dr, 1h247, Ann Arbor, MI 48109-5000 | 2009-06-08 |
| 1619942596 | Shamas Moheyuddin | Anesthesiology | 3120 Professional Dr, Ann Arbor, MI 48104-5131 | 2006-02-22 |
| 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 |
| 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 |
| 1831491851 | Ana Pain Management PC | Anesthesiology | 42645 Garfield Rd Ste 103, Clinton Township, MI 48038-5022 | 2010-11-23 |
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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.