The Pain Center USA PLLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

THE PAIN CENTER USA PLLC

Practice address

27423 Van Dyke Ave
Warren, MI 48093-2867

Phone

(586) 757-4000

Fax

(586) 755-9880

NPI assigned

Jun 9, 2010

Last updated

Jul 14, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rajendra Bothra, M.D.NPI 1497839328

Title

Owner/President

Phone

(586) 757-4000

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Rajendra Bothra, M.D.

  • Specialist
  • Warren, MI
  • NPI 1497839328
  Authorized official Same address or phone

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1891015160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27423 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932867",
            "telephone_number": "586-757-4000",
            "fax_number": "586-755-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27423 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932867",
            "telephone_number": "586-757-4000",
            "fax_number": "586-755-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PAIN CENTER USA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-09",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "BOTHRA",
        "authorized_official_first_name": "RAJENDRA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "586-757-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The 4Ever Home LLC
• The Detroit Osteopathic Hospital Corporation (Bi-County Clinical Practices)
• The Hearing Center
• The Mindful Self, LLC
• The Pain Center USA PLLC
• The Salvation Army Habor Light Onward
• Suzanne Thebert
• Eboni Thedford
• Anna Marie Theisen
• Christopher David Theodoroff, O.D.

• Durable Medical Equipment & Medical Supplies in Warren, MI
• Providers in Warren, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.