NPIMap

Organization Active NPI

Excellent Pain Consultants

  • Pain Clinic/Center
  • Southfield, MI
National Provider Identifier
1154717106
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
EXCELLENT PAIN CONSULTANTS
Practice address
15565 Northland Dr W Ste 304
Southfield, MI 48075-5313
Phone
(248) 809-2010
NPI assigned
Apr 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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

Authorized official

Name
Ms. Revan Francis
Title
Secretary
Phone
(248) 978-4433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

15565 Northland Dr W Ste 304
Southfield, MI 48075-5313

Mailing address

15565 Northland Dr W Ste 304
Southfield, MI 48075-5313
Phone (248) 809-2010

Other names 1

  • EPC Other name

National Provider Directory

National Provider Directory
Tax ID family
Epc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

15565 Northland Dr W
Ste 304
Southfield, MI 48075
Phone (248) 809-3631

NPI Registry JSON

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1154717106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15565 NORTHLAND DR W STE 304",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755313",
            "telephone_number": "248-809-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15565 NORTHLAND DR W STE 304",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755313",
            "telephone_number": "248-809-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENT PAIN CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "REVAN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "248-978-4433",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.