Interventional Pain Specialists of Michigan PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

5101016685 Issued in MI

Legal business name

INTERVENTIONAL PAIN SPECIALISTS OF MICHIGAN PLLC

Practice address

13460 Fort St
Southgate, MI 48195-1138

Phone

(313) 263-5961

Fax

(313) 263-5963

NPI assigned

Jul 15, 2015

Last updated

Jul 15, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Siva Kumar Sripada, DONPI 1174586267

Title

Admin

Phone

(810) 275-9152

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Siva Kumar Sripada, DO

  • Interventional Pain Medicine Physician
  • Flint, MI
  • NPI 1174586267
  Authorized official Same address or phone

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1124402607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14000 DIX TOLEDO RD",
            "address_2": "PO BOX 1915",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481959500",
            "telephone_number": "313-263-5961",
            "fax_number": "313-263-5963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13460 FORT ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951138",
            "telephone_number": "313-263-5961",
            "fax_number": "313-263-5963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL PAIN SPECIALISTS OF MICHIGAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "SRIPADA",
        "authorized_official_first_name": "SIVA",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "810-275-9152",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MI",
            "license": "5101016685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Idol
• Farah Iftikhar, MD
• Erica Anne Ihm
• Innovative Training Solutions
• Internal Medicine Assoc of Mi PC
• Ismail B. Sendi, MD PC (New Oakland Child-Adolescent and Family Center)
• J&E Ressidential Properties LLC (Residential Home Health Care Agency)
• J&J Home Medical Equipment
• Felicia Jackson-Davis
• Antoinette Rachel Jackson

• Interventional Pain Medicine Physician in Southgate, MI
• Providers in Southgate, 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 Jul 15, 2015; 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.