SPP MD PLLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

SPP MD PLLC

Practice address

2450 Walton Blvd
Rochester Hills, MI 48309-1481

Phone

(248) 453-0040

NPI assigned

Dec 26, 2019

Last updated

Dec 26, 2019By 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

Dr. Steven Petrovas, MD

Title

Physician/Owner

Phone

(248) 676-8000

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577318400000",
    "number": "1134768039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56193 HEATHROW DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483165507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 WALTON BLVD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091481",
            "telephone_number": "248-453-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPP MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-26",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A",
        "authorized_official_last_name": "PETROVAS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "248-676-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4301096579",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drpetrovas@controloverpain.com",
            "affiliation": "N",
            "address_1": "27101 Schoenherr Rd Ste 200",
            "city": "Warren",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480884730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Anesthesiology Physician in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Anesthesiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; 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.