Dearborn Pain Specialists, PLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

5101020822 Issued in MI

Legal business name

DEARBORN PAIN SPECIALISTS, PLC

Practice address

13530 Michigan Ave
Suite 245
Dearborn, MI 48126-3574

Phone

(954) 644-2880

NPI assigned

Oct 21, 2016

Organization subpart

No

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

Authorized official

Name

James C Padula, D.O

Title

Physician/Owner

Phone

(954) 644-2880

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1851842157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13530 MICHIGAN AVE",
            "address_2": "SUITE 245",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263574",
            "telephone_number": "954-644-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13530 MICHIGAN AVE",
            "address_2": "SUITE 245",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263574",
            "telephone_number": "954-644-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEARBORN PAIN SPECIALISTS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "PADULA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "954-644-2880",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MI",
            "license": "5101020822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dearborn Medical Walkin Clinic
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• Dearborn Oral & Maxillofacial Surgery Associates, P.C.
• Dearborn Orthopedics & Sports Medicine P.C.
• Dearborn Ped & Adol Med Center II PLLC
• Dearborn Pediatric & Adolescent Medical Center, PC
• Dearborn Physical Therapy LTD.
• Dearborn Podiatric Surgeons, P.C.
• Dearborn Primary Care, P.C.

• Interventional Pain Medicine Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Interventional Pain Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.