DR. EDWARD PETER WASHABAUGH III


Address: 135 S Prospect St, Ypsilanti, MI 48198-7914
Phone: 7345474860

DR. EDWARD PETER WASHABAUGH III (NPI# 1952409344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952409344
Entity Type Individual
Full Name DR. EDWARD PETER WASHABAUGH III
Credential MD
Practice Address 135 S Prospect St
Ypsilanti
MI 48198-7914
Practice Telephone 7345474860
Practice Fax Number 7345474871
Mailing Telephone 7345474860
Mailing Fax Number 7345474871
Enumeration Date 2006-09-20
Last Update Date 2017-03-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
4301055135 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI AETNA INDIVIDUAL NO 5894443 01
MI BCBS OF MI PIN 0813415 01
MI UNITED HEALTHCARE NO 1589714 01

Office Location

Street Address 135 S PROSPECT ST
City YPSILANTI
State MI
Zip Code 48198-7914

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871592188 Kristin A Keskey Internal Medicine 135 S Prospect St, Ypsilanti, MI 48198-7914 2005-07-19
1891303061 Pfefferkorn Md Pllc Internal Medicine 135 S Prospect St, Ypsilanti, MI 48198-7914 2020-07-14
1346867728 Samar Abouelella Pharmacist 135 S Prospect St, Ypsilanti, MI 48198-7914 2020-07-01
1528698107 Adam Thomas Derubeis Physician Assistant 135 S Prospect St, Ypsilanti, MI 48198-7914 2020-01-22
1407495161 Tanika Marie Dooley Nurse Practitioner 135 S Prospect St, Ypsilanti, MI 48198-7914 2019-12-29
1679121461 Kathleen Mavourneen Cusick Psychologist 135 S Prospect St, Ypsilanti, MI 48198-7914 2019-08-27
1942767991 Abram John Jensen Physician Assistant 135 S Prospect St, Ypsilanti, MI 48198-7914 2019-02-26
1932638145 Midwest Management Company, LLC Surgery 135 S Prospect St, Ypsilanti, MI 48198-7914 2017-06-09
1346779881 Sarah Elizabeth Schmitz Physician Assistant 135 S Prospect St, Ypsilanti, MI 48198-7914 2017-06-08
1164960787 Donna Khoury Counselor 135 S Prospect St, Ypsilanti, MI 48198-7914 2017-02-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740840602 Paxxon Healthcare Services LLC Occupational Therapist 8100 Geddes Road, Superior Township, MI 48198 2019-06-13
1053885137 Justine Altman Health Educator 9855 High Meadow Dr., Ypsilanti, MI 48198 2019-01-11
1730650516 Mark Neumann Driver 1233 Hull Ave, Ypsilanti, MI 48198 2018-12-05
1144703810 Douglas John Pealer Speech-Language Pathologist 8100 Geddes Rd, Superior Charter Township, MI 48198 2018-09-10
1225520919 Kathleen M Hartwell-king Iv Nurse Practitioner 315 Holmes Rd, Ypsilanti, MI 48198 2018-05-30
1205354339 Kawana Young Home Health 1811 George Ave, Ypsilanti, MI 48198 2017-09-09
1477009173 Brittney Thomas Technician, Other 1431 Leforge Rd Apt 301, Ypsilant, MI 48198 2016-09-01
1528461167 Emily Purdey Social Worker 8604 Pine Ct, Ypsilanti, MI 48198 2014-09-26
1063812550 Harry Lee Hampton Jr. Driver 868 Allen St, Ypsilanti, MI 48198 2014-09-03
1073932760 Ed Mcswain Counselor 6633 Stoney Creek Rd, Ypsilanti, MI 48198 2014-04-10
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Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811057490 Michigan Pain Specialists, Pllc Pain Medicine 135 S. Prospect St, Ypsilanti, MI 48198 2006-12-12
1851499099 Karen Mary Park Pain Medicine 5325 Elliott Drive, Suite 100 St. Joseph Mercy Pain Institute, Ypsilanti, MI 48105-1566 2006-09-20
1083710107 John William Chatas Pain Medicine 135 S Prospect St, Ypsilanti, MI 48198-7914 2006-09-16
1619073707 Louis David Bojrab Pain Medicine 135 S Prospect St, Ypsilanti, MI 48198-7914 2006-09-15
1942267661 Timothy Wright Pain Medicine 5301 E Huron River Dr, Ypsilanti, MI 48197 2006-04-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1558903294 Comprehensive Pain Specialists, Pllc Pain Medicine 4302 Bay City Rd, Midland, MI 48642-6014 2019-10-15
1437715232 Comprehensive Pain Specialists, Pllc Pain Medicine 705 E Frank St, Caro, MI 48723 2019-05-16
1083175913 Bella Treatment Center PC Pain Medicine 28763 Northwestern Hwy Ste 100, Southfield, MI 48034-1842 2019-03-25
1245795848 Advanced Pain Management Specialists, LLC Pain Medicine 46325 W 12 Mile Rd Ste 335, Novi, MI 48377-2464 2019-02-07
1356738686 Genesee Pain Associates PC Pain Medicine 4468 Oakbridge Dr, Flint, MI 48532-5422 2015-04-24
1457745150 Strategy Anesthesia Michigan Pllc Pain Medicine 13460 Fort St, Southgate, MI 48195-1138 2015-03-20
1407115884 Michiana Spine, Sports & Occupational Rehab, PC Pain Medicine 2500 Niles Rd Ste 3, Saint Joseph, MI 49085-3225 2012-05-07
1386902013 Michiana Spine, Sports & Occupational Rehab, PC Pain Medicine 24 N Saint Joseph Ave Ste B, Niles, MI 49120-2263 2012-05-01
1225302821 Pain Clinic Management Group, Pllc Pain Medicine 35634 Dequindre Rd, Sterling Heights, MI 48310-4288 2012-02-28
1740567163 Northville Pain Specialists Plc Pain Medicine 215 E. Main Street, Suite 201, Northville, MI 48167-1686 2011-11-14
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Competitor

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City YPSILANTI
Zip Code 48198

Improve Information

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Dataset Information

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.

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