Anasthesia Pain Service PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ANASTHESIA PAIN SERVICE PC

Practice address

15350 Michigan Ave
Dearborn, MI 48126

Phone

(313) 463-8676

NPI assigned

Sep 9, 2020

Organization subpart

No

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

Authorized official

Name

Naveen Nandakumar

Title

Administrator

Phone

(248) 283-1100

Specialties & licenses 1

Addresses

Practitioners 1

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

• Farhan Siddiq, M.D.

  • Neurological Surgery Physician
  • Columbia, MO
  • NPI 1740472745
  NPD

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1275148165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15350 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48126",
            "telephone_number": "313-463-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15350 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48126",
            "telephone_number": "313-463-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANASTHESIA PAIN SERVICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "NANDAKUMAR",
        "authorized_official_first_name": "NAVEEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-283-1100"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Groups LLC
• Alanood Anakeeb
• Ananda Medical Clinic and Healing Center PLC
• Ahmad Ali Anani, ND
• Noor Ali Anani, DNP, CPNP-PC
• Fatme A Ancouni
• Theresa Anderson, MD
• Yvette Anderson
• Andrew L. Marcus, M.D.,P.C.
• Camiron Alicia Andrews

• Clinic/Center in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.