NPIMap

Organization Active NPI

Innovative Joint Pain Clinic, PLLC

  • Family Medicine Physician
  • Imlay City, MI
National Provider Identifier
1417691692
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
INNOVATIVE JOINT PAIN CLINIC, PLLC
Practice address
147 N Almont Ave
Imlay City, MI 48444-1002
Phone
(810) 721-7640
Fax
(810) 407-5806
NPI assigned
Apr 25, 2022
Last updated
May 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Authorized official

Name
Dr. Jabir Kamal Akhtar, MDNPI 1932468881
Title
Owner/Physician
Phone
(810) 721-7640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

147 N Almont Ave
Imlay City, MI 48444-1002

Mailing address

147 N Almont Ave
Imlay City, MI 48444-1002
Phone (810) 721-7640

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1417691692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 N ALMONT AVE",
            "city": "IMLAY CITY",
            "state": "MI",
            "postal_code": "484441002",
            "telephone_number": "810-721-7640",
            "fax_number": "810-407-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 N ALMONT AVE",
            "city": "IMLAY CITY",
            "state": "MI",
            "postal_code": "484441002",
            "telephone_number": "810-721-7640",
            "fax_number": "810-407-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE JOINT PAIN CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "AKHTAR",
        "authorized_official_first_name": "JABIR",
        "authorized_official_middle_name": "KAMAL",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "810-721-7640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Imlay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.