St Clair Pain Consultants PC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

ST CLAIR PAIN CONSULTANTS PC

Practice address

29751 Little Mack Ave
Suite a
Roseville, MI 48066-6503

Phone

(313) 580-0015

Fax

(313) 884-6313

NPI assigned

Oct 19, 2016

Organization subpart

No

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

Authorized official

Name

Dr. John G Ghanem, M.D.

Title

President

Phone

(313) 580-0015

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1801347398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 S WASHINGTON AVE",
            "address_2": "UNIT 1101",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673854",
            "telephone_number": "313-580-0015",
            "fax_number": "313-884-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29751 LITTLE MACK AVE",
            "address_2": "SUITE A",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480666503",
            "telephone_number": "313-580-0015",
            "fax_number": "313-884-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CLAIR PAIN CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "GHANEM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-580-0015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zana Sotirov, MD
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• Paula Spear, PHARM.D, RPH
• Siobhan Spencer
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• St Clair Specialty Physicians PC
• Jason Aaron Stanczak, D.C.
• Stanley Stanczak, MSW
• Beth Starkey
• Rebekah S Starks

• Pain Medicine (Anesthesiology) Physician in Roseville, MI
• Providers in Roseville, 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 Oct 19, 2016; 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.