Advanced Pain Management of Caro PC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

ADVANCED PAIN MANAGEMENT OF CARO PC

Practice address

1800 W Caro Rd Ste 12
Caro, MI 48723-8209

Phone

(989) 359-6939

NPI assigned

Jan 3, 2024

Last updated

Jun 3, 2024By 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

Matthew Denotter

Title

Owner

Phone

(248) 894-7024

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Avery Michael Jackson III, M.D.

  • Neurological Surgery Physician
  • Grand Blanc, MI
  • NPI 1851329197
  Medicare reassignment NPD
• Bethany Michelle Heinrich, NP

  • Family Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1396477576

  MI

  Medicare reassignment NPD
• Caramarie Jackson, PA-C

  • Medical Physician Assistant
  • Grand Blanc, MI
  • NPI 1518047133
  Medicare reassignment
• Archana Sodha, PA-C

  • Physician Assistant
  • Sterling Heights, MI
  • NPI 1801315353
  Medicare reassignment
• Ramiro Antonio Perez de la Torre, MD

  • Neurological Surgery Physician
  • Garden City, MI
  • NPI 1689909343
  NPD

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1780454587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W CARO RD STE 12",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487238209",
            "telephone_number": "248-894-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W CARO RD STE 12",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487238209",
            "telephone_number": "989-359-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PAIN MANAGEMENT OF CARO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "DENOTTER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-894-7024"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helena Abbott, PTA
• Norma Abbott
• Mutee Husein Abdeljaber, MD
• Cherie Acker
• Advanced Wound Care of Caro PC
• Advanced Wound Care of PA
• Advanced Wound Care Specialists PC
• Yong Ja Ahadi, M.D.
• Ahmed M Aly, RPH

• Pain Medicine Physician in Caro, MI
• Providers in Caro, MI by specialty
• Pain Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.