NPIMap

Organization Active NPI

Michigan Interventional Radiology Associates, PC

Doing business as Macomb Pain Clinic

  • Pain Medicine (Anesthesiology) Physician
  • Flint, MI
National Provider Identifier
1841444007
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
MICHIGAN INTERVENTIONAL RADIOLOGY ASSOCIATES, PC
Doing business as
Macomb Pain Clinic
Mid Michigan Pain Specialty
Practice address
4466 W Bristol Rd FL 2
Flint, MI 48507-3170
Phone
(810) 250-4866
Fax
(810) 250-4867
NPI assigned
Nov 13, 2008
Last updated
Apr 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Erin Stoneburg
Title
Office Manager
Phone
(810) 250-4866

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU
Certified Registered Nurse Anesthetist 367500000X NU
Pain Medicine (Anesthesiology) Physician 207LP2900X NU Primary
Interventional Pain Medicine Physician 208VP0014X NU

Addresses

Primary practice location

4466 W Bristol Rd FL 2
Flint, MI 48507-3170

Mailing address

4466 W Bristol Rd FL 2
Flint, MI 48507-3170
Phone (810) 250-4866

Other practice location 1

42500 Hayes Rd Ste 800
Clinton Township, MI 48038-6761
Phone (586) 855-5564

Other names 2

  • Macomb Pain Clinic Doing business as
  • Mid Michigan Pain Specialty Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090119000064 MI Part B Supplier - Clinic/Group Practice 6507929502 Receives reassigned benefits from 8 practitioners
Practice locations: Clinton Township, MI; Flint, MI

National Provider Directory

National Provider Directory

Locations

1345 Willowdale Ct
Ste B
Flint, MI 48532
Phone (810) 250-4866

2222 S Linden Rd
Ste A
Flint, MI 48532
Phone (810) 733-0790

2370 S Linden Rd
Ste 300
Flint, MI 48532
Phone (810) 715-9915

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1841444007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4466 W BRISTOL RD FL 2",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073170",
            "telephone_number": "810-250-4866",
            "fax_number": "810-250-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4466 W BRISTOL RD FL 2",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073170",
            "telephone_number": "810-250-4866",
            "fax_number": "810-250-4867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42500 Hayes Rd Ste 800",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480386761",
            "country_code": "US",
            "telephone_number": "586-855-5564",
            "fax_number": "810-250-4867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHIGAN INTERVENTIONAL RADIOLOGY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-13",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "STONEBURG",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "810-250-4866"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Macomb Pain Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mid Michigan Pain Specialty",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.