Organization Active NPI

Genesee Pain Associates PC

  • Pain Medicine Physician
  • Flint, MI
National Provider Identifier
1356738686
Registry record updated Apr 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
GENESEE PAIN ASSOCIATES PC
Practice address
4468 Oakbridge Dr
Flint, MI 48532-5422
Phone
(810) 730-6026
NPI assigned
Apr 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2015

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

Authorized official

Name
Subramanyeswara Gutta, MD
Title
Partner
Phone
(810) 730-6026

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X

Addresses

Primary practice location

4468 Oakbridge Dr
Flint, MI 48532-5422

Mailing address

4468 Oakbridge Dr
Flint, MI 48532-5422

National Provider Directory

National Provider Directory

Locations

4468 Oakbridge Dr
Flint, MI 48532
Phone (810) 730-6026

NPI Registry JSON

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429833600000",
    "number": "1356738686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4468 OAKBRIDGE DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4468 OAKBRIDGE DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325422",
            "telephone_number": "810-730-6026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESEE PAIN ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-24",
        "last_updated": "2015-04-24",
        "status": "A",
        "authorized_official_last_name": "GUTTA",
        "authorized_official_first_name": "SUBRAMANYESWARA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "810-730-6026",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; 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.