Michigan Pain Institute, PLLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

4301058939 Issued in MI

Legal business name

MICHIGAN PAIN INSTITUTE, PLLC

Practice address

5333 McAuley Dr
Ypsilanti, MI 48197-1014

Phone

(734) 712-7246

Fax

(734) 712-5084

NPI assigned

Sep 20, 2006

Organization subpart

Yes

Parent organization

ANESTHESIA ASSOCIATES OF MICHIGAN, PLLCAs reported in NPPES

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

Authorized official

Name

Traci Coffman, MD

Title

Chair

Phone

(734) 263-2395

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 2

• Michigan Pain Insitute, PC Former legal business name
• Michigan Pain Institute, PC Former legal business name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Michigan Anesthesia Associates PLLC

  • Anesthesiology Physician
  • Coldwater, MI
  • NPI 1578154050
  NPPES parent name

Practitioners 18

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

• Rudy Anthony Cueto, M.D.

  • Anesthesiology Physician
  • Livonia, MI
  • NPI 1184670291

  MI, Pain Medicine

  Medicare reassignment Care Compare group NPD
• Brandon Gaetino, MD

  • Pain Medicine (Anesthesiology) Physician
  • Ann Arbor, MI
  • NPI 1396878054

  MI, Pain Medicine

  Medicare reassignment Care Compare group NPD
• Karen Mary Park, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Ypsilanti, MI
  • NPI 1851499099

  MI, Pain Medicine

  Medicare reassignment Care Compare group NPD
• Stephen Douglas Riutta, MD

  • Anesthesiology Physician
  • Ypsilanti, MI
  • NPI 1114422144

  MI, Pain Medicine

  Medicare reassignment Care Compare group NPD
• Timothy Wright, MD

  • Pain Medicine (Anesthesiology) Physician
  • Ypsilanti, MI
  • NPI 1942267661

  MI, Pain Medicine

  Medicare reassignment Care Compare group NPD
• Scott Russell, MD

  • Anesthesiology Physician
  • Ann Arbor, MI
  • NPI 1417078304
  NPD
• Louis David Bojrab, MD

  • Interventional Pain Medicine Physician
  • Ann Arbor, MI
  • NPI 1619073707
  NPD (past)
• John William Chatas, MD

  • Interventional Pain Medicine Physician
  • Ann Arbor, MI
  • NPI 1083710107
  NPD (past)
• Yi Shiuan Judy Lee, MD PHD

  • Pain Medicine (Anesthesiology) Physician
  • Okemos, MI
  • NPI 1316007867

  Pain Medicine

  NPD (past)
• Laureen McGuire, M.D.

  • Anesthesiology Physician
  • Chelsea, MI
  • NPI 1922034917
  NPD (past)
• Michelle Marie Miller, NP

  • Adult Health Nurse Practitioner
  • Ypsilanti, MI
  • NPI 1326632357
  NPD (past)
• Tracy L Olson, NP

  • Adult Health Nurse Practitioner
  • Livonia, MI
  • NPI 1700133808
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1437257557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 HOGBACK RD",
            "address_2": "SUITE 5",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059750",
            "telephone_number": "734-786-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 MCAULEY DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971014",
            "telephone_number": "734-712-7246",
            "fax_number": "734-712-5084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36475 5 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481541971",
            "country_code": "US",
            "telephone_number": "734-712-7246",
            "fax_number": "734-712-5084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "775 S Main St",
            "address_purpose": "LOCATION",
            "city": "Chelsea",
            "state": "MI",
            "postal_code": "481181383",
            "country_code": "US",
            "telephone_number": "734-712-7246",
            "fax_number": "734-712-5084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2006 Hogback Rd",
            "address_2": "Suite 5",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481059750",
            "country_code": "US",
            "telephone_number": "734-786-2317",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 S Canton Center Rd",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MI",
            "postal_code": "481881992",
            "country_code": "US",
            "telephone_number": "734-712-7246",
            "fax_number": "734-712-5084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1145 S Main St",
            "address_purpose": "LOCATION",
            "city": "Chelsea",
            "state": "MI",
            "postal_code": "481181408",
            "country_code": "US",
            "telephone_number": "734-263-2395",
            "fax_number": "734-773-3471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 Centennial Dr",
            "address_purpose": "LOCATION",
            "city": "Grass Lake",
            "state": "MI",
            "postal_code": "492408961",
            "country_code": "US",
            "telephone_number": "734-263-2395",
            "fax_number": "734-773-3471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7575 Grand River Rd",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481149309",
            "country_code": "US",
            "telephone_number": "734-712-7246",
            "fax_number": "734-712-5898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHIGAN PAIN INSTITUTE, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANESTHESIA ASSOCIATES OF MICHIGAN, PLLC",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "COFFMAN",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "CHAIR",
        "authorized_official_telephone_number": "734-263-2395",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MI",
            "license": "4301058939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0H11063",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "CF9179",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michigan Pain Insitute, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Michigan Pain Institute, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• All providers in Ypsilanti, MI
• Pain Medicine (Anesthesiology) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.