Provider Demographics
NPI:1417936584
Name:NEURO PAIN CONSULTANTS PC
Entity Type:Organization
Organization Name:NEURO PAIN CONSULTANTS PC
Other - Org Name:NEURO SURGICAL CONSULTANTS PAIN CARE ASSOCIATES CENTER FOR INTEGRATE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:E
Authorized Official - Last Name:LININGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-751-7246
Mailing Address - Street 1:799 DENISON CT FL 2
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-0053
Mailing Address - Country:US
Mailing Address - Phone:248-751-7246
Mailing Address - Fax:248-418-2311
Practice Address - Street 1:359 ENTERPRISE CT SPC B
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-1055
Practice Address - Country:US
Practice Address - Phone:248-751-7246
Practice Address - Fax:248-418-2311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-17
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301072377207LP2900X
MI4301058094207LP2900X
MI4301063268207LP2900X
MI4301406392207LP2900X
MI4301016093207LP2900X
MI4301404978207T00000X
MI4301029245207T00000X
MI4301070369207T00000X
MI4301041666207T00000X
MI4301059614208100000X
MI5501007831225100000X
MI5601003312363AS0400X
MI4704150069363L00000X
MI4704178303363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
No207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MICK8693OtherRAILROAD MEDICARE
MI135978600OtherUS DEPARTMENT OF LABOR
MI700F318300OtherBLUE CROSS BLUE SHIELD
MI700F318300OtherBLUE CROSS BLUE SHIELD