Organization Active NPI

Pain and Rehabilitative Medicine Center P C

  • Interventional Pain Medicine Physician
  • Farmington Hills, MI
National Provider Identifier
1477703833
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
PAIN AND REHABILITATIVE MEDICINE CENTER P C
Practice address
31800 Northwestern Hwy
Ste 120
Farmington Hills, MI 48334-1655
Phone
(248) 539-8446
Fax
(248) 539-8447
NPI assigned
Sep 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Authorized official

Name
Dr. Jacquelyn Gweneth Lockhart, M.D.
Title
President
Phone
(248) 539-8446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

31800 Northwestern Hwy
Ste 120
Farmington Hills, MI 48334-1655

Mailing address

31800 Northwestern Hwy
Ste 120
Farmington Hills, MI 48334-1655
Phone (248) 539-8446

National Provider Directory

National Provider Directory

Locations

44150 W Twelve Mile Rd
Ste 3
Novi, MI 48377
Phone (313) 790-0781

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1477703833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31800 NORTHWESTERN HWY",
            "address_2": "STE 120",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341655",
            "telephone_number": "248-539-8446",
            "fax_number": "248-539-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31800 NORTHWESTERN HWY",
            "address_2": "STE 120",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341655",
            "telephone_number": "248-539-8446",
            "fax_number": "248-539-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN AND REHABILITATIVE MEDICINE CENTER P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "LOCKHART",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "GWENETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-539-8446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; 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.