Organization Active NPI

Midwest Multispecialty Institute PLLC

  • Pain Medicine Physician
  • Warren, MI
National Provider Identifier
1720643893
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
MIDWEST MULTISPECIALTY INSTITUTE PLLC
Practice address
31700 Van Dyke Ave
Warren, MI 48093-7949
Phone
(586) 333-5365
NPI assigned
May 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Authorized official

Name
Dr. Jean R Pierre-Paul Sr., MD
Title
C.E.O
Phone
(586) 382-9655

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

31700 Van Dyke Ave
Warren, MI 48093-7949

Mailing address

31700 Van Dyke Ave
Warren, MI 48093-7949
Phone (586) 333-5365

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1556928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580428800000",
    "number": "1720643893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31700 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480937949",
            "telephone_number": "586-333-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31700 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480937949",
            "telephone_number": "586-333-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST MULTISPECIALTY INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-04",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A",
        "authorized_official_last_name": "PIERRE-PAUL",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "586-382-9655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.