Organization Active NPI

Metro Med Pain Management & Rehab PLC

  • Pain Clinic/Center
  • Dearborn, MI
National Provider Identifier
1649813650
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
METRO MED PAIN MANAGEMENT & REHAB PLC
Practice address
4520 Firestone St Ste a
Dearborn, MI 48126-4602
Phone
(313) 528-1145
Fax
(313) 528-1147
NPI assigned
Oct 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Authorized official

Name
Horst Griesser, MD
Title
Owner
Phone
(313) 528-1145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

4520 Firestone St Ste a
Dearborn, MI 48126-4602

Mailing address

4520 Firestone St Ste a
Dearborn, MI 48126-4602

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1649813650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 FIRESTONE ST STE A",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 FIRESTONE ST STE A",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264602",
            "telephone_number": "313-528-1145",
            "fax_number": "313-528-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO MED PAIN MANAGEMENT & REHAB PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-22",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "GRIESSER",
        "authorized_official_first_name": "HORST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-528-1145",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.