Michigan State Medical PC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

MICHIGAN STATE MEDICAL PC

Practice address

53 W Maple Rd
Clawson, MI 48017-1109

Phone

(586) 256-3725

NPI assigned

Jan 24, 2025

Organization subpart

No

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

Authorized official

Name

Jeffrey Oppenheimer, MDNPI 1124082755

Title

Physician

Phone

(586) 256-3725

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

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

• Jeffrey Harry Oppenheimer, MD

  • Neurological Surgery Physician
  • Boca Raton, FL
  • NPI 1124082755

  MI

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1326850488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483110003",
            "telephone_number": "586-256-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 W MAPLE RD",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480171109",
            "telephone_number": "586-256-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN STATE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "OPPENHEIMER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "586-256-3725",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tefta Metaj
• Agata M Michalczak, DO
• Michigan Ophthalmology Specialists, PLLC
• Michigan Pulmonayr & Sleep Physicians, PC
• Michigan State Medical Group
• Sheila Anne Miller
• Bruce Ian Millman, D.O.
• Mission Point of Clawson LLC
• Robin M Moherek, MD
• Jacquelyn Mary Murphy, AGACNP

• Pain Medicine Physician in Clawson, MI
• Providers in Clawson, MI by specialty
• Pain Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.