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EVAN PESKIN MD MBA NPI 1669904959


NPI Information

NPI: 1669904959
Provider Name: EVAN PESKIN, MD MBA
Classification: Pain Medicine - 208VP0014X
Entity Type: Individual

Specialization: Interventional Pain Medicine

PECOS Registration: Yes

Address:
4800 S SAGINAW ST STE 1800
FLINT, MI
ZIP 48507
Phone: (810) 732-9333
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Evan Peskin, MD MBA is an interventional pain medicine pain medicine in Flint, MI with 7 years of experience. The provider is 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. Evan Peskin, MD MBA NPI is 1669904959. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduation Year:2017

The provider's business location address is:

4800 S SAGINAW ST STE 1800
FLINT, MI
ZIP 48507-677
Phone: (810) 732-9333

The NPI 1669904959 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 3/28/2017 and was last updated on 1/26/2024.


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
1207L00000XAnesthesiology4301507484MICHIGANNo
2207LP2900XAnesthesiologyPain Medicine149677FLORIDANo
3207LP2900XAnesthesiologyPain Medicine4301507484MICHIGANNo
4208100000XPhysical Medicine & Rehabilitation4301507484MICHIGANNo
52081P2900XPhysical Medicine & RehabilitationPain Medicine4301507487MICHIGANNo
6208VP0000XPain MedicinePain Medicine4301507484MICHIGANNo
7208VP0014XPain MedicineInterventional Pain Medicine4301507484MICHIGANYes

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: 4/28/2024

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.