East West Pain Institute, PLLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

EAST WEST PAIN INSTITUTE, PLLC

Practice address

425 N Park Blvd
Suite 201
Lake Orion, MI 48362-3189

Phone

(248) 709-2526

NPI assigned

Sep 22, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Shushovan Chakrabortty, MDNPI 1437164852

Title

President

Phone

(248) 709-2526

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Shushovan Chakrabortty, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Lake Orion, MI
  • NPI 1437164852
  Medicare reassignment NPD Authorized official
• Nitin C Doshi, MD

  • Cardiovascular Disease Physician
  • Pontiac, MI
  • NPI 1689632853
  NPD (past)
• Nanthini D Palanichamy, MD, FACC

  • Cardiovascular Disease Physician
  • Pontiac, MI
  • NPI 1811179054
  NPD (past)
• Abul Shamsuddoha, M.D.

  • Internal Medicine Physician
  • Bloomfield Hills, MI
  • NPI 1265503031
  NPD (past)

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1174992945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N PARK BLVD",
            "address_2": "SUITE 201",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483623189",
            "telephone_number": "248-709-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N PARK BLVD",
            "address_2": "SUITE 201",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483623189",
            "telephone_number": "248-709-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST WEST PAIN INSTITUTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-22",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "CHAKRABORTTY",
        "authorized_official_first_name": "SHUSHOVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-709-2526",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Elise Doyle, FNP-BC
• Melissa Lukens Drallos, PA
• Theresa Dray
• Andrea Kristina Dubiel, FNP-C
• Nicholas John Duerden
• Joanna Eddy, RN, BSN, MSN, FNP-C
• Heather Kathleen Edstrom, WHNP
• Pimchanok Ehrmann
• Jordyn Elam
• Elite Endodontics

• Pain Medicine (Anesthesiology) Physician in Lake Orion, MI
• Providers in Lake Orion, MI by specialty
• Pain Medicine (Anesthesiology) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.