NPIMap

Organization Active NPI

Neuro Pain Consultants PC

  • Anesthesiology Physician
  • Bloomfield Hills, MI
National Provider Identifier
1699048702
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4301087884 Issued in MI
Legal business name
NEURO PAIN CONSULTANTS PC
Practice address
799 Denison CT
Bloomfield Hills, MI 48302-0053
Phone
(248) 751-7246
Fax
(248) 418-2311
NPI assigned
Feb 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

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

Authorized official

Name
Mrs. Teresa Raymond
Title
Credentialing/Billing Specialist
Phone
(248) 605-7331

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X 4301072377 MI
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X 4301087884 MI Primary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X 5101016093 MI
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X 4301058094 MI
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X 4301063268 MI

Addresses

Primary practice location

799 Denison CT
Bloomfield Hills, MI 48302-0053

Mailing address

799 Denison CT
Bloomfield Hills, MI 48302-0053
Phone (248) 751-7246

Other identifiers 1

IdentifierTypeStateIssuer
700F318300OtherMIBCBS OF MICHIGAN

Other names 1

  • Pain Care Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pain Care Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

799 Denison Ct
Bloomfld Hls, MI 48302
Phone (248) 322-5280

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1699048702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 DENISON CT",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020053",
            "telephone_number": "248-751-7246",
            "fax_number": "248-418-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 DENISON CT",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020053",
            "telephone_number": "248-751-7246",
            "fax_number": "248-418-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO PAIN CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-21",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "RAYMOND",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "CREDENTIALING/BILLING SPECIALIST",
        "authorized_official_telephone_number": "248-605-7331",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301072377",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301087884",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "5101016093",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301058094",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301063268",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "700F318300",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain Care Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.