NPIMap

Organization Active NPI

Hanging Drop PC

Doing business as MidMichigan Pain Institute

  • Pain Medicine (Anesthesiology) Physician
  • Bay City, MI
National Provider Identifier
1932238987
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
4301075665 Issued in MI
Legal business name
HANGING DROP PC
Doing business as
MidMichigan Pain Institute
Practice address
2010 15TH St
Bay City, MI 48708-7606
Phone
(989) 894-5621
Fax
(989) 893-3528
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Authorized official

Name
Dr. Zaza Godziashvili, M.D.
Title
President
Phone
(989) 894-5621

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 4301075665 MI
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X 4301075665 MI Primary

Addresses

Primary practice location

2010 15TH St
Bay City, MI 48708-7606

Mailing address

2010 15TH St.
Bay City, MI 48708
Phone (989) 894-5621

Other identifiers 2

IdentifierTypeStateIssuer
01003119OtherMIHEALTHPLUS
0500910751OtherMIBCR

Other names 1

  • MidMichigan Pain Institute Doing business as

National Provider Directory

National Provider Directory

Locations

222 N Saginaw Rd
Ste 2
Midland, MI 48640
Phone (989) 835-9154

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437350400000",
    "number": "1932238987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 15TH ST.",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "48708",
            "telephone_number": "989-894-5621",
            "fax_number": "989-893-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 15TH ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087606",
            "telephone_number": "989-894-5621",
            "fax_number": "989-893-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANGING DROP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2015-07-20",
        "status": "A",
        "authorized_official_last_name": "GODZIASHVILI",
        "authorized_official_first_name": "ZAZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-894-5621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301075665",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MI",
            "license": "4301075665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS",
            "identifier": "01003119",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCR",
            "identifier": "0500910751",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MidMichigan Pain Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.