Midwest Surgical Affiliates, PLLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

5101015792 Issued in MI

Legal business name

MIDWEST SURGICAL AFFILIATES, PLLC

Doing business as

Complete Pain Specialists

Practice address

8560 N Silvery LN Ste 202
Dearborn Heights, MI 48127-4515

Phone

(313) 581-3255

Fax

(313) 581-3755

NPI assigned

Oct 11, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Tanya Weaver

Title

Office Manager

Phone

(313) 581-3255

Specialties & licenses 1

Addresses

Other names 1

• Complete Pain Specialists Doing business as

Locations

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1689184020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8560 N SILVERY LN STE 202",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481274515",
            "telephone_number": "313-581-3255",
            "fax_number": "313-581-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8560 N SILVERY LN STE 202",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481274515",
            "telephone_number": "313-581-3255",
            "fax_number": "313-581-3755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27207 Lahser Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480348470",
            "country_code": "US",
            "telephone_number": "248-255-4420",
            "fax_number": "313-255-4421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDWEST SURGICAL AFFILIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "313-581-3255",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MI",
            "license": "5101015792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Pain Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michigan Sleep Network, P.C.
• Michigan Sports Medicine PC
• Michigan Sports Medicine PC
• Michigan Therapeutic Solutions, Inc.
• Midwest Compounding LLC
• Mouna Mihtar
• Amy Miller
• Brandon Minton, MS, LLPC
• Natelie Mitchell
• MLR Transport, LLC

• Pain Medicine Physician in Dearborn Heights, MI
• Providers in Dearborn Heights, 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 Dec 17, 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.