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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
4301055135 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | AETNA INDIVIDUAL NO | 5894443 | 01 |
| MI | BCBS OF MI PIN | 0813415 | 01 |
| MI | UNITED HEALTHCARE NO | 1589714 | 01 |
| Street Address |
135 S PROSPECT ST |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48198-7914 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 48198 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| 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. |
| 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 |
| 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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| 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.