Flint Pain Specialists PLLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

5101020822 Issued in MI

Legal business name

FLINT PAIN SPECIALISTS PLLC

Practice address

1345 Willowdale CT Ste B
Flint, MI 48532-4737

Phone

(954) 644-2880

NPI assigned

May 14, 2018

Last updated

May 14, 2018By 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

James C Padula, DO

Title

Managing Member

Phone

(954) 644-2880

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526256000000",
    "number": "1629568811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 WILLOWDALE CT STE B",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485324737",
            "telephone_number": "954-644-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 WILLOWDALE CT STE B",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485324737",
            "telephone_number": "954-644-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLINT PAIN SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-05-14",
        "status": "A",
        "authorized_official_last_name": "PADULA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "954-644-2880",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MI",
            "license": "5101020822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "G27091",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Flint Odyssey House, Inc. - Outpatient Services
• Flint Opco LLC (Villa at Beecher Place)
• Flint Optical Company
• Flint Optical LLC
• Flint Orthopedic Associates PC
• Flint Pharmacy Inc (Flint Pharmacy)
• Flint Pharmacy Mi LLC (Uptown Pharmacy)
• Flint Pharmacy Mi LLC (Uptown Pharmacy)
• Flint Physical Therapy Specialists
• Flint Radiation Therapy

• Pain Medicine (Anesthesiology) Physician in Flint, MI
• Providers in Flint, 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 May 14, 2018; 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.