Individual provider Active NPI

Miss Wednesday Hall, D.O.

  • Pain Medicine Physician
  • Farmington Hills, MI
National Provider Identifier
1154582112
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
5101020142 Issued in MI
Practice address
32300 Northwestern Hwy Ste 200
Farmington Hills, MI 48334-1501
Phone
(248) 574-9534
NPI assigned
Jun 23, 2008
Last updated
May 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 5101020142 MI Primary
Interventional Pain Medicine Physician 208VP0014X 5101020142 MI

Addresses

Primary practice location

32300 Northwestern Hwy Ste 200
Farmington Hills, MI 48334-1501

Mailing address

11012 E 13 Mile Rd Ste 112
Warren, MI 48093-2546
Phone (586) 459-5592

Other identifiers 2

IdentifierTypeStateIssuer
381958736MedicaidMI
0E06376OtherMIBCBSM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120809000110 MI Practitioner - Pain Management 6608022538 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
New York College of Osteo Medicine of New York Institute of Technology, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michigan Surgery Specialists PCGroup PAC ID 7113835075, 26 clinicians
Spine Sports and Occupational Medicine PCGroup PAC ID 5395646665, 3 clinicians

Practice addresses (Care Compare)

11012 E 13 Mile Rd
Suite 112
Warren, MI 48093-2546
Phone (586) 573-6880

15636 Southfield Rd
Allen Park, MI 48101-2513
Phone (313) 353-0700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101020142MIMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Spine and Orthopedic Surgery Center, LLC CurrentSince Jun 3, 2014 Accepting new patients
Michigan Surgery Specialists, P.C. CurrentSince Jan 1, 2025 Accepting new patients
Mendelson Orthopedics PC Interventional Pain Medicine CurrentSince Jul 1, 2013 Accepting new patients
Michigan Surgery Specialists, P.C. CurrentSince Jan 1, 2025 Accepting new patients
Mendelson Orthopedics PC Pain Medicine Current Accepting new patients
Michigan Surgery Specialists P.C. Past Accepting new patients
Mendelson Orthopedics PC Past Accepting new patients

Locations

32300 Northwestern Hwy
Farmington Hills, MI 48334

32300 Northwestern Hwy
Ste 200
Farmington Hills, MI 48334
Phone (248) 574-9534

14555 Levan Rd
Ste 215
Livonia, MI 48154
Phone (734) 542-0200

36622 5 Mile Rd
Livonia, MI 48154
Phone (734) 542-0200

36622 5 Mile Rd
Ste 101
Livonia, MI 48154
Phone (734) 526-1791

35735 Mound Rd
Ste 100
Sterling Heights, MI 48310
Phone (586) 261-1960

11012 E 13 Mile Rd
Ste 112
Warren, MI 48093
Phone (586) 573-6880

11900 E 12 Mile Rd
Ste 110
Warren, MI 48093
Phone (586) 261-1960

31201 Chicago Rd S
Ste C302
Warren, MI 48093

5504 E 12 Mile Rd
Warren, MI 48092
Phone (586) 439-6242

Interoperability endpoints

  • Direct secure messaging: mhall1131135@direct.hfhs.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1154582112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11012 E 13 MILE RD STE 112",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932546",
            "telephone_number": "586-459-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32300 NORTHWESTERN HWY STE 200",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341501",
            "telephone_number": "248-574-9534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "MISS",
        "middle_name": "WEDNESDAY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MI",
            "license": "5101020142",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MI",
            "license": "5101020142",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381958736",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0E06376",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.