Michigan Pain Management Consultants, PC Naapn

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

MICHIGAN PAIN MANAGEMENT CONSULTANTS, PC NAAPN

Practice address

47601 Grand River Ave
Ste B224
Novi, MI 48374-1233

Phone

(248) 849-1257

NPI assigned

Aug 4, 2006

Organization subpart

No

Name

Dominic Lago Jr., M.D.

Title

Director

Phone

(248) 849-1257

Organizations that report the same tax identification number in the National Provider Directory.

• Michigan Pain Management Consultants, PC

  • Specialist
  • Southfield, MI
  • NPI 1033207063
  NPD tax ID

Tax ID family

Michigan Pain Management Consultants (2 organizations share this tax ID)

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 19, 2007.

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1104834084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012218",
            "telephone_number": "517-787-6440",
            "fax_number": "517-787-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47601 GRAND RIVER AVE",
            "address_2": "STE B224",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741233",
            "telephone_number": "248-849-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN PAIN MANAGEMENT CONSULTANTS, PC NAAPN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "LAGO",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "248-849-1257",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stephanie Mickens
• Tiffany Mickens, LCSW
• Sherri Middaugh

• All providers in Novi, MI
• Anesthesiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.