Active NPI
American Pain & Spine Center, P.C.
- Interventional Pain Medicine Physician
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 4301085721
- Legal business name
- AMERICAN PAIN & SPINE CENTER, P.C.
- Practice address
- 3845 Monroe St
Dearborn, MI 48124-4607 - Phone
- (313) 586-4030
- Fax
- (313) 586-4031
- NPI assigned
- May 11, 2010
- Last updated
- Aug 16, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Walid Aref Osta, MD
- Title
- Provider
- Phone
- (313) 586-4030
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 4301085721 | MI | Primary |
Addresses
Primary practice location
3845 Monroe St
Dearborn, MI 48124-4607
Mailing address
3845 Monroe St
Dearborn, MI 48124-4607
Phone (313) 586-4030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487972766 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2099954 | American Pain & Spine Center, PC | Certificate of waiver | Aug 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
8534 N Canton Center Rd
Canton, MI 48187
Phone (734) 446-5958
1711 Monroe St
Ofc
Dearborn, MI 48124
Phone (313) 359-9361
3845 Monroe St
Dearborn, MI 48124
Phone (313) 586-4030
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Interventional Pain Medicine Physician
- Dearborn, MI
- NPI 1184832362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660608000000",
"number": "1487972766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3845 MONROE ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481244607",
"telephone_number": "313-586-4030",
"fax_number": "313-586-4031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3845 MONROE ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481244607",
"telephone_number": "313-586-4030",
"fax_number": "313-586-4031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN PAIN & SPINE CENTER, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-11",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A",
"authorized_official_last_name": "OSTA",
"authorized_official_first_name": "WALID",
"authorized_official_middle_name": "AREF",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "313-586-4030",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "MI",
"license": "4301085721",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1487972766",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
- American Advantage Home Care, Inc.
- American Choice Home Health Inc
- American Health PLLC (American Health Home Care)
- American Integrative Holistic Psychiatry, PLLC
- American Internal Medicine PC
- American Phsychiatric & Neuroscience Institute PC
- American Rehab & Therapy Services Inc
- American Rehab, Inc
- Americare Medical Supplies Inc
- Amerigard Development Corporation (Women's Health Specialists of Dearborn)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.