Michigan Interventional Pain Center,PC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

MICHIGAN INTERVENTIONAL PAIN CENTER,PC

Practice address

19725 Allen Rd
Brownstown TWP, MI 48183-1021

Phone

(734) 479-7246

NPI assigned

Jun 17, 2006

Organization subpart

No

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

Authorized official

Name

Razmig HaladjianNPI 1750335188

Title

MD

Phone

(734) 479-7246

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Mipc Physical Therapy

  • Physical Therapy Clinic/Center
  • Brownstown TWP, MI
  • NPI 1326491358
  NPPES parent name

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Razmig A Haladjian, M.D.

  • Interventional Pain Medicine Physician
  • Brownstown, MI
  • NPI 1750335188
  Medicare reassignment Care Compare group NPD Authorized official
• Richard Briggs, CRNA

  • Certified Registered Nurse Anesthetist
  • Southfield, MI
  • NPI 1871557207
  Medicare reassignment Care Compare group NPD
• Jeremy Fritsch, NP

  • Nurse Practitioner
  • Woodhaven, MI
  • NPI 1831976976
  Medicare reassignment Care Compare group NPD
• Patricia Ann Moesner, MD

  • Anesthesiology Physician
  • Brownstown TWP, MI
  • NPI 1013127893
  Medicare reassignment Care Compare group NPD
• Amy Van Dusen, PA-C

  • Medical Physician Assistant
  • Riverview, MI
  • NPI 1942520119
  Medicare reassignment Care Compare group
• Jennifer Lynn Brujitske, NP

  • Acute Care Nurse Practitioner
  • Dearborn Heights, MI
  • NPI 1215035423
  Medicare reassignment NPD
• Wisam George, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • West Bloomfield, MI
  • NPI 1790989317

  Multi-Specialty

  Medicare reassignment NPD
• John George Ghanem, M.D.

  • Anesthesiology Physician
  • Detroit, MI
  • NPI 1255628442
  Medicare reassignment NPD
• Sruthi Kondur, MD

  • Interventional Pain Medicine Physician
  • Garden City, MI
  • NPI 1023229036
  Medicare reassignment NPD
• Joseph Richard Melrose, M.D.

  • Anesthesiology Physician
  • Royal Oak, MI
  • NPI 1740629153
  Medicare reassignment NPD
• Mark Mounayer, MD

  • Pain Medicine (Anesthesiology) Physician
  • Southfield, MI
  • NPI 1073855383
  Medicare reassignment NPD
• Honorine Ngeseh Njita, DNP, FNP-BC

  • Family Nurse Practitioner
  • Highland Park, MI
  • NPI 1124322672
  Medicare reassignment NPD

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053356774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 LAKE LANSING RD",
            "address_2": "SUITE 100",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123798",
            "telephone_number": "517-485-0001",
            "fax_number": "517-485-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19725 ALLEN RD",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481831021",
            "telephone_number": "734-479-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN INTERVENTIONAL PAIN CENTER,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALADJIAN",
        "authorized_official_first_name": "RAZMIG",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "734-479-7246"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Mathews
• Andrea Elisabeth Mercatante, PA-C
• Metropolitan Anesthesia Consultants, PLLC (MAC Pain & Spine Institute)
• MGS Dental PLLC
• Michigan House Physicians, P.C.
• Andrew Miller, PHARMD
• Mipc Physical Therapy
• Patricia Ann Moesner, MD
• Loretta Moore, LPC
• Iqbal A Nasir, M.D.

• Interventional Pain Medicine Physician in Brownstown TWP, MI
• Providers in Brownstown TWP, MI by specialty
• Interventional Pain Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.