Organization Active NPI

American Injury and Pain Center, PLLC

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1588892939
Registry record updated Jun 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
LR007201 Issued in MI
Legal business name
AMERICAN INJURY AND PAIN CENTER, PLLC
Practice address
17200 E Warren Ave
Suite B
Detroit, MI 48224-2498
Phone
(313) 882-5476
Fax
(313) 882-5485
NPI assigned
Jun 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2009

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

Authorized official

Name
Robert Kazma
Title
Director/Officer
Phone
(313) 882-5476

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X VG030430 MI
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X LR007201 MI Primary

Addresses

Primary practice location

17200 E Warren Ave
Suite B
Detroit, MI 48224-2498

Mailing address

17200 E Warren Ave
Suite B
Detroit, MI 48224-2498
Phone (313) 882-5476

National Provider Directory

National Provider Directory

Locations

17200 E Warren Ave
Ste B
Detroit, MI 48224
Phone (313) 882-5476

NPI Registry JSON

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1588892939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17200 E WARREN AVE",
            "address_2": "SUITE B",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482242498",
            "telephone_number": "313-882-5476",
            "fax_number": "313-882-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17200 E WARREN AVE",
            "address_2": "SUITE B",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482242498",
            "telephone_number": "313-882-5476",
            "fax_number": "313-882-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN INJURY AND PAIN CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "KAZMA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DIRECTOR/OFFICER",
        "authorized_official_telephone_number": "313-882-5476"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "VG030430",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "LR007201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; 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.