Active NPI
Midwest Multispecialty Institute PLLC
- Pain Medicine Physician
- Warren, MI
National Provider Identifier
1720643893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | |||
| Pain Medicine Physician | 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 DirectoryNPI 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.