NPIMap

Organization Active NPI

Orthopedic Medical Building Inc

  • Pain Clinic/Center
  • Oak Park, MI
National Provider Identifier
1154679587
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
ORTHOPEDIC MEDICAL BUILDING INC
Practice address
12990 W 8 Mile Rd
Oak Park, MI 48237-3200
Phone
(248) 595-8800
Fax
(248) 595-8517
NPI assigned
Aug 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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

Authorized official

Name
Mrs. Iris Lena WinchesterNPI 1609123173
Title
Director
Phone
(248) 595-8800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Physical Therapy Clinic/Center 261QP2000X
Pain Clinic/Center 261QP3300X Primary
Rehabilitation Clinic/Center 261QR0400X
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

Addresses

Primary practice location

12990 W 8 Mile Rd
Oak Park, MI 48237-3200

Mailing address

12990 W 8 Mile Rd
Oak Park, MI 48237-3200
Phone (248) 595-8800

Other names 1

  • Orthopedic Medical Building LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

12990 W 8 Mile Rd
Oak Park, MI 48237
Phone (248) 595-8800

15600 W 12 Mile Rd
Southfield, MI 48076
Phone (248) 595-8800

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456790400000",
    "number": "1154679587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12990 W 8 MILE RD",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482373200",
            "telephone_number": "248-595-8800",
            "fax_number": "248-595-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12990 W 8 MILE RD",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482373200",
            "telephone_number": "248-595-8800",
            "fax_number": "248-595-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC MEDICAL BUILDING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2016-03-01",
        "status": "A",
        "authorized_official_last_name": "WINCHESTER",
        "authorized_official_first_name": "IRIS",
        "authorized_official_middle_name": "LENA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "248-595-8800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopedic Medical Building LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.