DETROIT INSTITUTE OF PAIN & MUSCULOSKELETAL MEDICINE (NPI# 1447611926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447611926 |
| Entity Type | Organization |
| Organization Name | DETROIT INSTITUTE OF PAIN & MUSCULOSKELETAL MEDICINE |
| Practice Address |
13510 Michigan Ave Dearborn MI 48126-3511 |
| Practice Telephone | 3133440663 |
| Mailing Telephone | 3133440663 |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-03-11 |
| Authorized Official Name | MR. BACHU ABRAHAM (OWNER) |
| Authorized Official Telephone | 3133440663 |
| Authorized Official Credential | MD |
| 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 |
13510 MICHIGAN AVE |
| City | DEARBORN |
| State | MI |
| Zip Code | 48126-3511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730646977 | Michigan Specialty Clinic Pllc | Clinic/Center | 13510 Michigan Ave, Dearborn, MI 48126-3511 | 2019-02-25 |
| 1295247633 | Michigan Specialty Clinic Pllc | Clinic/Center | 13510 Michigan Ave, Dearborn, MI 48126-3511 | 2017-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1417501958 | Ximena Noemi Ortega | Behavior Technician | 6241 Miller Rd, Dearborn, MI 48126 | 2019-08-01 |
| 1912478827 | Abar Alghazali | Behavior Technician | 4641 Lois, Dearborn, MI 48126 | 2018-12-17 |
| 1861972457 | Laboratory Specialists of Michigan, LLC | Clinical Medical Laboratory | 13530 Michigan Ave Ste 240, Dearborn, MI 48126 | 2018-08-14 |
| 1528544806 | Farah Osman | Pharmacist | 14715 Ford Rd, Dearborn, MI 48126 | 2018-07-19 |
| 1255821328 | Loyal Pharmacy LLC | Pharmacy | 7118 Greenfield Rd St(b), Dearborn, MI 48126 | 2018-05-15 |
| 1952803900 | Neetika Kesar | Physical Therapist | 15051, Ford Road, Dearborn, MI 48126 | 2018-03-06 |
| 1396247607 | David Jerome Kurcz | Physical Therapy Assistant | 15051 Ford Road, Henry Ford Village, Dearborn, MI 48126 | 2018-03-02 |
| 1043732506 | Shadiya Ahmed | Dentist | 4700 Schaefer Rd Ste 190, Dearborn, MI 48126 | 2017-07-16 |
| Find all providers in zip 48126 | ||||
| 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 |
| 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 |
| 1619113594 | Noel Sudarshan Chatla | Physical Medicine & Rehabilitation | 24611 Greenfield Rd, Southfield, MI 48075-3058 | 2008-12-26 |
| Find all providers with the same taxonomy | ||||
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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.