Sunrise Institute for Pain Management P.C.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

4301080069 Issued in MI

Legal business name

SUNRISE INSTITUTE FOR PAIN MANAGEMENT P.C.

Practice address

6535 Rochester Rd
Suite 102
Troy, MI 48085-1362

Phone

(248) 813-0600

Fax

(248) 813-0066

NPI assigned

Sep 18, 2007

Last updated

Dec 20, 2007By 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. Martin Glowacki M.D., M.D.

Title

Medical Director

Phone

(248) 813-0060

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 8

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.

• Braden Matthew Boji, MD

  • Interventional Pain Medicine Physician
  • Pontiac, MI
  • NPI 1295155828
  Medicare reassignment Care Compare group NPD
• Martin Glowacki, M.D.

  • Interventional Pain Medicine Physician
  • Troy, MI
  • NPI 1083716377

  Anesthesiology

  Medicare reassignment Care Compare group NPD
• Amanda Lynn Kelsey, NP-C

  • Family Nurse Practitioner
  • Warren, MI
  • NPI 1548615172
  Medicare reassignment Care Compare group NPD
• Stephanie Hasty Mikulski, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Detroit, MI
  • NPI 1902211121
  Medicare reassignment Care Compare group
• Sean M Conroy, MD

  • Interventional Pain Medicine Physician
  • Farmington Hills, MI
  • NPI 1134103534

  Anesthesiology

  Medicare reassignment NPD
• Jodie Eickhoff, N.P.-BC

  • Adult Health Nurse Practitioner
  • Troy, MI
  • NPI 1033549381
  Medicare reassignment NPD
• Kimberly Murphy, PA-C

  • Medical Physician Assistant
  • Troy, MI
  • NPI 1083014690
  NPD
• Brittany Morrell Wilson, PA-C

  • Medical Physician Assistant
  • Rochester Hills, MI
  • NPI 1053820639
  NPD

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1942496443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6535 ROCHESTER RD",
            "address_2": "SUITE 102",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851362",
            "telephone_number": "248-813-0600",
            "fax_number": "248-813-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 ROCHESTER RD",
            "address_2": "SUITE 102",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851362",
            "telephone_number": "248-813-0600",
            "fax_number": "248-813-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE INSTITUTE FOR PAIN MANAGEMENT P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "GLOWACKI M.D.",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "248-813-0060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MI",
            "license": "4301080069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Sumner
• Sun Medical Equipment
• Jingwen Sun
• Suncare Therapy, P.C.
• Melissa Kay Sundt, M.S., BCBA
• Superior Anesthetists Associates, Inc.
• Linda Sue Supple-Diaz, LMSW
• Bindu Suresh, M.D.
• Kandasamy Suresh, RPT
• Sanjula Suresh, NP

• Interventional Pain Medicine Physician in Troy, MI
• Providers in Troy, 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 Dec 20, 2007; 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.