GREAT LAKES PAIN MANAGEMENT MD, PC – NPI #1356419543
Pain Medicine

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Health Care Provider Taxonomy Code for Pain Medicine

GREAT LAKES PAIN MANAGEMENT MD, PC is a provider located in WYANDOTTE, MI. NPPES has assigned the NPI number 1356419543 to GREAT LAKES PAIN MANAGEMENT MD, PC on December 04, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208VP0014X from the Health Care Provider Taxonomy code set, which is classified as Pain Medicine, specializing in Interventional Pain Medicine

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GREAT LAKES PAIN MANAGEMENT MD, PC below.

NPI Profile for
GREAT LAKES PAIN MANAGEMENT MD, PC

NPI Number
1356419543
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GREAT LAKES PAIN MANAGEMENT MD, PC
Primary location
1404 EUREKA AVE
WYANDOTTE, MI 48192
Phone: (734) 282-4200 Fax: (734) 282-4210
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MOHAMED OTHMAN
PRESIDENT
Phone: (734) 282-4200
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208VP0014X
- Pain Medicine / Interventional Pain Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.