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EAST WEST PAIN INSTITUTE, PLLC
NPI 1174992945
Anesthesiology - Pain Medicine in Lake Orion, MI

Active since September 22, 2015CLIA 23D2107517 · Waiver
425 N PARK BLVD, SUITE 201, LAKE ORION, MI 48362(248) 709-2526 Get Directions Write a Review

NPPES record last updated: September 29, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About East West Pain Institute, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST WEST PAIN INSTITUTE, PLLC (NPI 1174992945) is a healthcare organization registered as a pain medicine in Lake Orion, Michigan and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through January 14, 2028 and lists Shushovan Chakrabortty, President, as its authorized official.

NPPES Registry Identity

NPI1174992945
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameEAST WEST PAIN INSTITUTE, PLLC
Location Address425 N PARK BLVD, SUITE 201Lake Orion, MI 48362-3189
Mailing Address425 N Park Blvd, Suite 201Lake Orion, MI 48362-3189 · (248) 709-2526
Phone(248) 709-2526
Organization SubpartNo
Authorized OfficialShushovan ChakraborttyPresident · (248) 709-2526
Enumeration DateSeptember 22, 2015
Last NPPES UpdateSeptember 29, 2015
✔ NPI 1174992945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

425 N PARK BLVD, Lake Orion, MI 48362
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2107517

East West Pain Institute · Lake Orion, MI
Active · expires Jan 14, 2028
CLIA Number23D2107517
Laboratory TypePhysician Office
Certificate Effective DateJanuary 15, 2026
Certificate Expiration DateJanuary 14, 2028
Laboratory DirectorShushovan Chakrabortty
Laboratory Phone(248) 929-8165
Laboratory LocationEast West Pain Institute425 N Park Blvd Suite 201, Lake Orion, MI 48362
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OAKLAND SPORTS CHIROPRACTIC
Clinic/Center
425 N PARK BLVD, SUITE 200
LAKE ORION, MI 48362
Oakland County (248) 783-7169
MRS. ANNMARIE RAGUSE MPT
Physical Therapist
425 N PARK BLVD, SUITE 100
LAKE ORION, MI 48362
Oakland County (248) 693-6835

Frequently Asked Questions

What is EAST WEST PAIN INSTITUTE, PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1174992945, enumerated as an "organization" on September 22, 2015.

Where is the provider located?

The provider is located at 425 N PARK BLVD SUITE 201 LAKE ORION, MI 48362 and the phone number is (248) 709-2526.

What is the provider's specialty?

Anesthesiology with taxonomy code 207LP2900X and a focus in Pain Medicine.

What insurance does EAST WEST PAIN INSTITUTE, PLLC accept?

The provider might be accepting Accepts: Blue Care Network of Michigan. Please consult your insurance carrier or call the provider to verify.