Medicus Pain and Spine PLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

4301070388 Issued in MI

Legal business name

MEDICUS PAIN AND SPINE PLC

Practice address

36880 Woodward Ave
220
Bloomfield Hills, MI 48304-0919

Phone

(248) 594-7900

Fax

(248) 307-9578

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Richard K Nadjarian, M.D.NPI 1164440889

Title

Member

Phone

(248) 594-7900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard K Nadjarian, M.D.

  • Pain Medicine Physician
  • Bloomfield Hills, MI
  • NPI 1164440889
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1871528844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2193",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480122193",
            "telephone_number": "248-594-7900",
            "fax_number": "248-307-9578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36880 WOODWARD AVE",
            "address_2": "220",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040919",
            "telephone_number": "248-594-7900",
            "fax_number": "248-307-9578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICUS PAIN AND SPINE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "NADJARIAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "248-594-7900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MI",
            "license": "4301070388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medcore Corp
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• Medical Imaging Network, PLLC
• Medical Park Pharmacy Inc
• Medilodge of Bloomfield
• Eleanor M Medina, MD
• Candace Meese, M.A., CCC-SLP
• Jill Mehr
• Michael Meininger, MD

• Pain Medicine Physician in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Pain Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.