Southfield Pain Mangement

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

4301406796 Issued in MI

Legal business name

SOUTHFIELD PAIN MANGEMENT

Practice address

28035 Southfield Rd
100
Lathrup Village, MI 48076-2858

Phone

(248) 701-5222

NPI assigned

Feb 5, 2016

Organization subpart

No

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

Authorized official

Name

William S Gonte, M.D

Title

Owner

Phone

(248) 701-5222

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454630400000",
    "number": "1427416338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28035 SOUTHFIELD RD",
            "address_2": "100",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762858",
            "telephone_number": "248-701-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28035 SOUTHFIELD RD",
            "address_2": "100",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762858",
            "telephone_number": "248-701-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHFIELD PAIN MANGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-05",
        "last_updated": "2016-02-05",
        "status": "A",
        "authorized_official_last_name": "GONTE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-701-5222",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MI",
            "license": "4301406796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1043314164",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Interventional Pain Medicine Physician in Lathrup Village, MI
• Providers in Lathrup Village, MI by specialty
• Interventional Pain Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; 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.