Northville Pain Specialists PLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

5101015444 Issued in MI

Legal business name

NORTHVILLE PAIN SPECIALISTS PLC

Practice address

215 E. Main Street
Suite 201
Northville, MI 48167-1686

Phone

(248) 773-7964

Fax

(248) 773-7994

NPI assigned

Nov 14, 2011

Last updated

Jul 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karl Freydl, D.O.

Title

Physician / Owner

Phone

(248) 773-7964

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1740567163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E. MAIN STREET",
            "address_2": "SUITE 201",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671686",
            "telephone_number": "248-773-7964",
            "fax_number": "248-773-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E. MAIN STREET",
            "address_2": "SUITE 201",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671686",
            "telephone_number": "248-773-7964",
            "fax_number": "248-773-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHVILLE PAIN SPECIALISTS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "FREYDL",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "248-773-7964",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MI",
            "license": "5101015444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "5822157",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northville Family Medical Center PC
• Northville Hearing Aid Ctr
• Northville Manor LLC
• Northville Oral & Maxiollofacial Surgery PLC
• Northville Oral &Facial Surgery Center
• Northville Pharmacy LLC (Northville Pharmacy)
• Northville Physical Rehabilitation, P.C.
• Northville Vision Clinic PC
• Kim Nwagwu, IMH-E
• Deanna O'Dea, LMSW

• Interventional Pain Medicine Physician in Northville, MI
• Providers in Northville, MI by specialty
• Interventional Pain Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.