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MITCHELL T PACE D.O. NPI 1104994847


NPI Information

NPI: 1104994847
Provider Name: MITCHELL T PACE, D.O.
Classification: Radiology - 2085N0700X
Entity Type: Individual

Specialization: Neuroradiology

Organization: TROY INTERNAL MEDICINE, PC

PECOS Registration: Yes

Address:
HENRY FORD HEALTH SYSTEM
2799 WEST GRAND BOULEVARD-DIAG RAD
DETROIT, MI
ZIP 48202
Phone: (313) 916-7425
Get Directions

Mitchell T Pace, D.O. is a neuroradiology radiology in Detroit, MI with 37 years of experience. The provider is a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. Mitchell T Pace, D.O. NPI is 1104994847. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE
Graduation Year:1987

The provider's business location address is:

HENRY FORD HEALTH SYSTEM
2799 WEST GRAND BOULEVARD-DIAG RAD
DETROIT, MI
ZIP 48202
Phone: (313) 916-7425

The NPI 1104994847 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/1/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085N0700XRadiologyNeuroradiology5101010036MICHIGANYes
22085R0202XRadiologyDiagnostic Radiology5101010036MICHIGANX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1MP010036OTHERCHAMPUS-CHAMPUS
2MP010036OTHERCOMMERCIAL-COMMERCIAL NUMBER
3F58271MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.