Millenium Pain Management & Therapy

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

MILLENIUM PAIN MANAGEMENT & THERAPY

Practice address

21409 Kelly Rd
Ste 400
Eastpointe, MI 48021-3264

Phone

(586) 777-0630

NPI assigned

Nov 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Joram O Mogaka, MDNPI 1255407631

Title

Ceo

Phone

(586) 777-0630

Specialties & licenses 5

Addresses

Practitioners 2

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

• Joram O Mogaka, MD

  • Internal Medicine Physician
  • Saint Clair Shores, MI
  • NPI 1255407631
  NPD (past) Authorized official
• Remi O Soile, M.D.

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1366510893
  NPD (past)

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1174800981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2666",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483332666",
            "telephone_number": "586-777-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21409 KELLY RD",
            "address_2": "STE 400",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213264",
            "telephone_number": "586-777-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENIUM PAIN MANAGEMENT & THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "MOGAKA",
        "authorized_official_first_name": "JORAM",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "586-777-0630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tesfamariam Okbay Metiku, M.D.
• Metro Medical Home Suppliers
• Michigan Denture & Implant Center PC
• Michigan Orthopedic Services LLC
• Joseph Charles Mifsud, MA, LLP
• Adam Ryan Miller, D.C.
• Colleen Miller, NP
• Carrie Mitchell
• Tiffany Mitchell
• Modern Medical Pharmacy Inc

• Pain Medicine Physician in Eastpointe, MI
• Providers in Eastpointe, MI by specialty
• Pain Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.