Educare Interventional Pain & Anesthesiology

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

EDUCARE INTERVENTIONAL PAIN & ANESTHESIOLOGY

Practice address

2041 Fort St
Lincoln Park, MI 48146-2402

Phone

(313) 551-5501

NPI assigned

Mar 9, 2021

Organization subpart

No

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

Authorized official

Name

Ganiu Edu, MD

Title

Owner

Phone

(313) 932-1350

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1821683053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462402",
            "telephone_number": "313-551-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462402",
            "telephone_number": "313-551-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUCARE INTERVENTIONAL PAIN & ANESTHESIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "EDU",
        "authorized_official_first_name": "GANIU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-932-1350",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. D. M. Elem PC
• Stefanie L Drumm
• Ketan Dudhara, R PH.
• Shanita Denise Eccles
• Marita Eckford
• Allen Edwards
• Nada El-Khatib
• Durene M Elem-Vaughn, DPM
• Diana Lynne Elledge, RN
• Tyara Cinque Evelyn Ellis

• Multi-Specialty Clinic/Center in Lincoln Park, MI
• Providers in Lincoln Park, MI by specialty
• Multi-Specialty Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.