Backos Physical Medicine and Rehabilitation Clinice PLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

4301048249 Issued in MI

Legal business name

BACKOS PHYSICAL MEDICINE AND REHABILITATION CLINICE PLC

Practice address

27423 Van Dyke Ave
Warren, MI 48093-2867

Phone

(586) 755-9855

Fax

(586) 755-9880

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Eric Backos, MD

Title

Owner

Phone

(586) 755-9855

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Alcesa Abelgas Backos, MD FAAP

  • Pediatric Adolescent Medicine Physician
  • Detroit, MI
  • NPI 1740227743
  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982637294",
    "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": "586-755-9855",
            "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": "586-755-9855",
            "fax_number": "586-755-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACKOS PHYSICAL MEDICINE AND REHABILITATION CLINICE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BACKOS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-755-9855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301048249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY",
            "identifier": "$$$$$$$$$",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Najah Azim
• Arifa Aziz, MD
• Grace E Azzo
• Mark Paul Azzo
• Alena Bacalia
• Eric Nicholas Backos, M.D.
• William Thomas Bacus
• Shalbhadra Bafna, M.D.
• Alisa Bailey, OTRL
• Latifah Bailey

• Physical Medicine & Rehabilitation Physician in Warren, MI
• Providers in Warren, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.