Michigan Pain Consultants PC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

MICHIGAN PAIN CONSULTANTS PC

Practice address

2060 East Paris Ave SE
Suite 200
Grand Rapids, MI 49546

Phone

(616) 285-1377

Fax

(616) 285-1006

NPI assigned

Apr 26, 2006

Last updated

Mar 30, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Louis Gostine, MD

Title

President

Phone

(616) 285-1377

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EJDADD

Practitioners 39

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.

• Jacqueline Balon, NP

  • Nurse Practitioner
  • Farmington Hills, MI
  • NPI 1306800933
  NPD (past)
• Barbara Beerthuis, LMSW

  • Clinical Social Worker
  • Holland, MI
  • NPI 1023259652
  NPD (past)
• Dennis Craig Besley, M.D.

  • Cardiovascular Disease Physician
  • Ludington, MI
  • NPI 1598756009
  NPD (past)
• Shawn Michael Black, M.S., P.T.

  • Physical Therapist
  • Traverse City, MI
  • NPI 1679603575
  NPD (past)
• Marvin N Bleiberg, MD

  • Physical Medicine & Rehabilitation Physician
  • Mt Pleasant, MI
  • NPI 1356307052
  NPD (past)
• Bonnie Marie Brown

  • Clinical Psychologist
  • Muskegon, MI
  • NPI 1801923339
  NPD (past)
• Kandis Koreen Deshaw, LMSW

  • Social Worker
  • Grand Rapids, MI
  • NPI 1740550151
  NPD (past)
• Michael David Dumond, D.C.

  • Chiropractor
  • Dorr, MI
  • NPI 1326393612
  NPD (past)
• Robert Flannigan, DC

  • Chiropractor
  • Ada, MI
  • NPI 1790319465
  NPD (past)
• Rita Kais Graham, PT

  • Physical Therapist
  • Grand Rapids, MI
  • NPI 1881641603
  NPD (past)
• Charles Guernsey, DO

  • Interventional Pain Medicine Physician
  • Portage, MI
  • NPI 1245280767
  NPD (past)
• Austin Hawkins, DC

  • Chiropractor
  • Grand Rapids, MI
  • NPI 1821888942
  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1467418574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 GLENWOOD HILLS PKWY SE STE 2",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495122091",
            "telephone_number": "616-940-2662",
            "fax_number": "616-940-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 EAST PARIS AVE SE",
            "address_2": "SUITE 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49546",
            "telephone_number": "616-285-1377",
            "fax_number": "616-285-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN PAIN CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "GOSTINE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-285-1377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine (Anesthesiology) Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Pain Medicine (Anesthesiology) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.