Midwest Spine and Sports Center PLLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

MIDWEST SPINE AND SPORTS CENTER PLLC

Practice address

214 S Lafayette St
South Lyon, MI 48178-1406

Phone

(786) 564-9319

NPI assigned

Jul 6, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Pierre Rojas, DONPI 1780945105

Title

Physician

Phone

(248) 963-6900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pierre Rojas, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • South Lyon, MI
  • NPI 1780945105
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1033737135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11997 DEER CREEK CT",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702823",
            "telephone_number": "248-963-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 S LAFAYETTE ST",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481781406",
            "telephone_number": "786-564-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST SPINE AND SPORTS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-06",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "ROJAS",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-963-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarek Nabil Metwally
• Michelle R Conforti
• Michigan Rehabilitation Specialists of South Lyon LLC
• Michigan Rehabilitation Specialists South Lyon, Inc.
• Jaclyn Esther Michniak
• Bridget Shakira Miller, M.D.,
• Christina Miller, RDN
• Kallie Minarik, LLMSW
• Mind Body Pilates & Physical Therapy, L.L.C.
• Mobile Care

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in South Lyon, MI
• Providers in South Lyon, MI by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.