Organization Active NPI

Michigan Institute of Pain Management West

  • Pain Medicine Physician
  • Van Buren Township, MI
National Provider Identifier
1598081317
Registry record updated Apr 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
MICHIGAN INSTITUTE OF PAIN MANAGEMENT WEST
Practice address
11650 Belleville Road
Van Buren Township, MI 48111
Phone
(313) 565-6782
Fax
(313) 565-6784
NPI assigned
Apr 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2010

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

Authorized official

Name
Hussein Abdurahman Huraibi, M.D.
Title
Physician
Phone
(313) 565-6782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

11650 Belleville Road
Van Buren Township, MI 48111

Mailing address

PO Box 1665
Belleville, MI 48112-1665
Phone (313) 565-6782

National Provider Directory

National Provider Directory
Tax ID family
Integrated Health Group PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271635200000",
    "number": "1598081317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1665",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481121665",
            "telephone_number": "313-565-6782",
            "fax_number": "313-565-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11650 BELLEVILLE ROAD",
            "city": "VAN BUREN TOWNSHIP",
            "state": "MI",
            "postal_code": "48111",
            "telephone_number": "313-565-6782",
            "fax_number": "313-565-6784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN INSTITUTE OF PAIN MANAGEMENT WEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-19",
        "last_updated": "2010-04-19",
        "status": "A",
        "authorized_official_last_name": "HURAIBI",
        "authorized_official_first_name": "HUSSEIN",
        "authorized_official_middle_name": "ABDURAHMAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "313-565-6782",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Buren Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.