Eric Nicholas Backos, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

4301048249 Issued in MI

Practice address

27423 Van Dyke Ave
Warren, MI 48093-2867

Phone

(586) 755-9855

NPI assigned

Jun 8, 2006

Last updated

Dec 15, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Backos Physical Medicine and Rehabilitation Clinice PLC

  • Physical Medicine & Rehabilitation Physician
  • Warren, MI
  • NPI 1982637294
  Authorized official Same address or phone
• Center for Physical Medicine & Rehabilitation PC

  • Specialist
  • Warren, MI
  • NPI 1003993312
  NPD (past)
• Macomb Neurology Associates PC

  • Neurology Physician
  • Warren, MI
  • NPI 1467525675
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1780625251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 WATER CLIFF DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021975",
            "telephone_number": "248-593-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27423 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932867",
            "telephone_number": "586-755-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKOS",
        "first_name": "ERIC",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "MI",
            "license": "4301048249",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301048249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arifa Aziz, MD
• Grace E Azzo
• Mark Paul Azzo
• Alena Bacalia
• Backos Physical Medicine and Rehabilitation Clinice PLC
• William Thomas Bacus
• Shalbhadra Bafna, M.D.
• Kaylynn Diane Bailer
• Alisa Bailey, OTRL
• Latifah Bailey

• Physical Medicine & Rehabilitation Physician in Warren, MI
• Providers in Warren, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.