Organization Active NPI

Physical Medicine Consultants PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Southfield, MI
National Provider Identifier
1205910254
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
4301044005 Issued in MI
Legal business name
PHYSICAL MEDICINE CONSULTANTS PC
Practice address
29255 Northwestern Hwy
Southfield, MI 48034-1018
Phone
(248) 368-0100
Fax
(248) 350-8919
NPI assigned
Oct 25, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Maynard Buszek, M.D.NPI 1003990037
Title
Owner / Ceo
Phone
(248) 368-0100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X 4301044005 MI Primary

Addresses

Primary practice location

29255 Northwestern Hwy
Southfield, MI 48034-1018

Mailing address

29255 Northwestern Hwy
Southfield, MI 48034-1018
Phone (248) 368-0100

National Provider Directory

National Provider Directory

Locations

24725 W 12 Mile Rd
Ste 302
Southfield, MI 48034
Phone (248) 368-0100

28475 Van Dyke Ave
Warren, MI 48093
Phone (586) 806-4542

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1205910254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29255 NORTHWESTERN HWY",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341018",
            "telephone_number": "248-368-0100",
            "fax_number": "248-350-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29255 NORTHWESTERN HWY",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341018",
            "telephone_number": "248-368-0100",
            "fax_number": "248-350-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BUSZEK",
        "authorized_official_first_name": "MAYNARD",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "248-368-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MI",
            "license": "4301044005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 20, 2008; 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.