Prizm Anesthesia Associates PLLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

4301056069 Issued in IL

Legal business name

PRIZM ANESTHESIA ASSOCIATES PLLC

Practice address

6200 N Haggerty Rd
Canton, MI 48187-3605

Phone

(734) 526-8860

NPI assigned

May 9, 2016

Last updated

Aug 29, 2016By 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

Dr. Jeffrey Rosenberg, MDNPI 1801902911

Title

Authorized Official

Phone

(224) 231-4363

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Mark Rosenberg, MD, PHD

  • Pain Medicine Physician
  • Canton, MI
  • NPI 1801902911
  Authorized official Same address or phone

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472428800000",
    "number": "1679929699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33661",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482325661",
            "telephone_number": "224-231-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 N HAGGERTY RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873605",
            "telephone_number": "734-526-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIZM ANESTHESIA ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-08-29",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "224-231-4363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "5101016547",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "IL",
            "license": "4301056069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primary Home Health Care, Inc
• Prime Counseling Services LLC (Prime Counseling Services)
• Prime Health, Inc.
• Prime Therapy Services PC
• Natasha T Prince, MD
• Andrew Joseph Proctor
• Professional Care Therapy Services PLLC
• Progressive Medical Equipment & Supplies, Inc
• Provide America LC (Cura Reliable Commute)
• Provider Service Organization

• Pain Medicine Physician in Canton, MI
• Providers in Canton, MI by specialty
• Pain Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; 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.