Organization Active NPI

Integrative Pain Specialist of Michigan PLLC

  • Pain Clinic/Center
  • Sterling HTS, MI
National Provider Identifier
1912543737
Registry record updated Nov 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
INTEGRATIVE PAIN SPECIALIST OF MICHIGAN PLLC
Practice address
9001 15 Mile Rd Ste C
Sterling HTS, MI 48312-3621
Phone
(586) 983-8133
Fax
(586) 983-8135
NPI assigned
Nov 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2019

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

Authorized official

Name
Muna Afan
Title
Manager
Phone
(586) 983-8133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

9001 15 Mile Rd Ste C
Sterling HTS, MI 48312-3621

Mailing address

9001 15 Mile Rd Ste C
Sterling HTS, MI 48312-3621
Phone (586) 983-8133

Other identifiers 1

IdentifierTypeStateIssuer
T000680658391OtherMIAUTO INSURANCES

National Provider Directory

National Provider Directory

Locations

9001 15 Mile Rd
Ste C
Sterling Hts, MI 48312
Phone (586) 284-2643

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574812800000",
    "number": "1912543737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 15 MILE RD STE C",
            "city": "STERLING HTS",
            "state": "MI",
            "postal_code": "483123621",
            "telephone_number": "586-983-8133",
            "fax_number": "586-983-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 15 MILE RD STE C",
            "city": "STERLING HTS",
            "state": "MI",
            "postal_code": "483123621",
            "telephone_number": "586-983-8133",
            "fax_number": "586-983-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PAIN SPECIALIST OF MICHIGAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-27",
        "last_updated": "2019-11-27",
        "status": "A",
        "authorized_official_last_name": "AFAN",
        "authorized_official_first_name": "MUNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "586-983-8133"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUTO INSURANCES",
            "identifier": "T000680658391",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling HTS, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.