Physical Medicine Consultants PC

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

Organization subpart

No

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

Authorized official

Name

Dr. Maynard Buszek, M.D.

Title

Owner / Ceo

Phone

(248) 368-0100

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Annette G Desantis, MD

  • Physical Medicine & Rehabilitation Physician
  • Dearborn, MI
  • NPI 1730135492
  NPD (past)
• Lolita Maria Maliskey

  • Physical Therapist
  • Southfield, MI
  • NPI 1548595598
  NPD (past)

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": []
}

• Jennifer Lynne Phillips, RN
• Phoenix Empowerment Services LLC
• Phoenix Medical Group, P.C.
• Phoenix Rizing Inc.
• Physical Medicine and Wellness PC
• Physical Medicine, P.C.
• Physical Therapy and Fitness LLC
• Physical Therapy Services, Inc.
• Physical Therapy Services, Inc.
• Physical Therapy Solutions Service

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Michigan

• 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.