Individual provider Active NPI

Dade Arthur Sidney Stromwall, AG-ACNP

  • Interventional Pain Medicine Physician
  • Warren, MI
National Provider Identifier
1639849193
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
4704402942 Issued in MI
Practice address
30713 Schoenherr Rd Ste a
Warren, MI 48088-3122
Phone
(586) 286-2643
Fax
(586) 265-2170
NPI assigned
Sep 16, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X 4704402942 MI Primary
Acute Care Nurse Practitioner 363LA2100X 1049376 TX
Gerontology Nurse Practitioner 363LG0600X 1049376 TX

Addresses

Primary practice location

30713 Schoenherr Rd Ste a
Warren, MI 48088-3122

Mailing address

30713 Schoenherr Rd Ste a
Warren, MI 48088-3122
Phone (586) 286-2643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211104001555 TX Practitioner - Nurse Practitioner 1456749837 Reassigns benefits to 1 organization
I20240105000314 MI Practitioner - Nurse Practitioner 1456749837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ortholonestar PLLCGroup PAC ID 9931529062, 416 clinicians

Practice addresses (Care Compare)

12835 Gulf Fwy
Houston, TX 77034-4807
Phone (713) 436-3488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704402942MIMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ortholonestar, PLLC CurrentSince Dec 1, 2022 Accepting new patients
Minimally Invasive Pain Specialists PLLC Single Specialty CurrentSince Nov 20, 2023 Accepting new patients
Ortholonestar, PLLC Single Specialty CurrentSince Dec 1, 2022 Accepting new patients
Ortholonestar, PLLC Past Accepting new patients

Locations

9001 15 Mile Rd
Ste C
Sterling Hts, MI 48312
Phone (586) 284-2643

30713 Schoenherr Rd
Ste A
Warren, MI 48088
Phone 5862842643 ext. 1

4700 Seton Center Pkwy
Ste 115
Austin, TX 78759
Phone (346) 440-0644

2635 W Baker Rd
Baytown, TX 77521
Phone (281) 337-8550

3800 Gaylord Pkwy
Ste 710
Frisco, TX 75034

7401 Main St
Houston, TX 77030
Phone (713) 799-8600

12835 Gulf Fwy
Houston, TX 77034
Phone (281) 481-1184

Interoperability endpoints

  • Direct secure messaging: dade.stromwall.1@15533.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1639849193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30713 SCHOENHERR RD STE A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883122",
            "telephone_number": "586-286-2643",
            "fax_number": "586-265-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30713 SCHOENHERR RD STE A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883122",
            "telephone_number": "586-286-2643",
            "fax_number": "586-265-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROMWALL",
        "first_name": "DADE",
        "middle_name": "ARTHUR SIDNEY",
        "credential": "AG-ACNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-16",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MI",
            "license": "4704402942",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1049376",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1049376",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.