Michigan Pain Management LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

5101020822 Issued in MI

Legal business name

MICHIGAN PAIN MANAGEMENT LLC

Practice address

30301 Woodward Ave
Suite 240
Royal Oak, MI 48073-0979

Phone

(248) 632-8938

Fax

(248) 291-5333

NPI assigned

Apr 21, 2014

Organization subpart

No

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

Authorized official

Name

Dr. James C Padula, DO

Title

President

Phone

(248) 632-8938

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1184044976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30301 WOODWARD AVE",
            "address_2": "SUITE 240",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730979",
            "telephone_number": "248-632-8938",
            "fax_number": "248-291-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30301 WOODWARD AVE",
            "address_2": "SUITE 240",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730979",
            "telephone_number": "248-632-8938",
            "fax_number": "248-291-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-21",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "PADULA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-632-8938",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MI",
            "license": "5101020822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "5101020822",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michigan Open MRI LLC
• Michigan Orthopaedic Physical Therapy
• Michigan Orthopaedic Spine Surgeons PC
• Michigan Orthopaedic Surgeons PLLC
• Michigan Orthopedic Rehabilitation LLC
• Michigan Podiatry Institute, P.C.
• Michigan Progressive Health
• Anne Marie Michon, NP
• Lauren Michon, PT, DPT
• James M Mick, MD

• Interventional Pain Medicine Physician in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Interventional Pain Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.