West Michigan Interventional Pain & Spine, PLLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

WEST MICHIGAN INTERVENTIONAL PAIN & SPINE, PLLC

Practice address

6400 W Main St Ste a
Kalamazoo, MI 49009-9255

Phone

(269) 263-6089

Fax

(269) 263-6119

NPI assigned

Jun 6, 2023

Organization subpart

No

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

Authorized official

Name

Timothy Kwiecien, MDNPI 1780071340

Title

Owner

Phone

(734) 765-1803

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 4

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

• Timothy Daniel Kwiecien, M.D.

  • Anesthesiology Physician
  • Marshall, MI
  • NPI 1780071340

  Pain Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Kari McClain, NP

  • Acute Care Nurse Practitioner
  • Three Rivers, MI
  • NPI 1982361655
  Medicare reassignment Care Compare group NPD
• Charles Paul Roelant, P.A.-C.

  • Medical Physician Assistant
  • Kalamazoo, MI
  • NPI 1710956560
  Medicare reassignment Care Compare group NPD
• Alexandria Bower-Nelson, PA

  • Physician Assistant
  • Kalamazoo, MI
  • NPI 1982212072
  Medicare reassignment

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1760176408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 LABELLE TER",
            "city": "RICHLAND",
            "state": "MI",
            "postal_code": "490839611",
            "telephone_number": "734-765-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 W MAIN ST STE A",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490099255",
            "telephone_number": "269-263-6089",
            "fax_number": "269-263-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MICHIGAN INTERVENTIONAL PAIN & SPINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "KWIECIEN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-765-1803",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Michigan Cancer Center
• West Michigan Cancer Center
• West Michigan Cancer Center
• West Michigan Counseling & Psychological Services
• West Michigan Endodontics PC
• West Michigan Medical PC
• West Michigan Pathology Specialists, PC
• West Point Optical Group
• West Side Chiropractic and Wellness, PLLC
• Sian West-Porter, D.O.

• Pain Medicine (Anesthesiology) Physician in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Pain Medicine (Anesthesiology) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.