Southeast Michigan Interventional Pain Specialists

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SOUTHEAST MICHIGAN INTERVENTIONAL PAIN SPECIALISTS

Practice address

2841 Monroe St FL 2
Dearborn, MI 48124-3492

Phone

(313) 998-8662

NPI assigned

Nov 29, 2023

Organization subpart

No

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

Authorized official

Name

Bryan Sabah TomaNPI 1275055469

Title

Director

Phone

(248) 470-8912

Specialties & licenses 1

Addresses

Tax ID family

Southeast Mi Interventional Pain SP2 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.

• Southeast Michigan Interventional Pain Specialists

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Dearborn, MI
  • NPI 1275280711
  NPD tax ID

Locations

Practitioners 1

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

• Bryan Sabah Toma, MD

  • Anesthesiology Physician
  • Royal Oak, MI
  • NPI 1275055469
  NPD Authorized official

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1730955949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 MONROE ST FL 2",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243492",
            "telephone_number": "313-998-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 MONROE ST FL 2",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243492",
            "telephone_number": "313-998-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST MICHIGAN INTERVENTIONAL PAIN SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-26",
        "status": "A",
        "authorized_official_last_name": "TOMA",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "SABAH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "248-470-8912"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Dearborn Pharmacy,Inc
• Abigail Channing Southard, MSN, CNM, C-EFM
• Southeast Michigan Anesthesia Group PLLC
• Southeast Michigan Imaging Services LLC
• Southeast Michigan Interventional Pain Specialists
• Southeast Michigan Surgical Hospital, LLC
• Southfield Rehabilitation Company
• Malalda Darlene Sow
• Leo D Sowle, DC
• Logan Sparks, PA

• Durable Medical Equipment & Medical Supplies in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.