Active NPI
Maynard Buszek, M.D.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 4301044005
- Practice address
- 29255 Northwestern Hwy
Suite 201
Southfield, MI 48034-1018 - Phone
- (248) 368-0100
- Fax
- (248) 350-8919
- NPI assigned
- Oct 25, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 4301044005 | MI | Primary |
Addresses
Primary practice location
29255 Northwestern Hwy
Suite 201
Southfield, MI 48034-1018
Mailing address
29255 Northwestern Hwy
Suite 201
Southfield, MI 48034-1018
Phone (248) 368-0100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Wayne State University School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
26400 W 12 Mile Rd
Suite 170
Southfield, MI 48034-1753
Phone (248) 208-8787
27900 Grand River Ave
Suite 220
Farmington Hills, MI 48336-5965
Phone (248) 477-0552
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| Michigan Manual Physical Therapy PC | Pain Medicine | Past | Accepting new patients |
| Michigan Tri-County Physical Therapy PLLC | Past | Accepting new patients |
Locations
27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552
29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430
1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300
26400 W 12 Mile Rd
Ste 170
Southfield, MI 48034
Phone (248) 208-8787
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1295023547
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Warren, MI
- NPI 1043389836
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Southfield, MI
- NPI 1205910254
-
dba Urology Specialist of Michigan
- Durable Medical Equipment & Medical Supplies
- Lapeer, MI
- NPI 1992693303
-
- Physical Therapy Clinic/Center
- Warren, MI
- NPI 1083035067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003990037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29255 NORTHWESTERN HWY",
"address_2": "SUITE 201",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341018",
"telephone_number": "248-368-0100",
"fax_number": "248-350-8919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29255 NORTHWESTERN HWY",
"address_2": "SUITE 201",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341018",
"telephone_number": "248-368-0100",
"fax_number": "248-350-8919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSZEK",
"first_name": "MAYNARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "MI",
"license": "4301044005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.