MICHIANA SPINE, SPORTS & OCCUPATIONAL REHAB, PC – Interventional Pain Medicine Physician, NPI 1386902013

MICHIANA SPINE, SPORTS & OCCUPATIONAL REHAB, PC is a healthcare provider. based in Mishawaka, Indiana. specializing in Interventional Pain Medicine Physician. The organization holds a License No. 4301070312 (MI). The NPI Number for MICHIANA SPINE, SPORTS & OCCUPATIONAL REHAB, PC is 1386902013

Main info

Organization
Name
MICHIANA SPINE, SPORTS & OCCUPATIONAL REHAB, PC
NPI
1386902013
Phone
(574) 252-4150
Address
3740 EDISON LAKES PKWY
Authorized Official
KEVIN G DREW OWNER MD
Enumeration Date
1 May 2012
Last Update Date
3 November 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for MICHIANA SPINE, SPORTS & OCCUPATIONAL REHAB, PC

  • 3740 EDISON LAKES PKWY

    MISHAWAKA, IN 465453474

    Phone: (574) 252-4150

    Fax: (574) 252-4159

    Type: Mailing

  • 24 N SAINT JOSEPH AVE STE B

    NILES, MI 491202263

    Phone: (574) 252-4150

    Fax: (574) 252-4159

    Type: Location

NPPES updates history

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Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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Insurance plans in this area (ZIP 46545)

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Frequently asked questions

What NPI should I save for MICHIANA SPINE, SPORTS & OCCUPATIONAL REHAB, PC?
Save NPI 1386902013 if you need a stable reference for MICHIANA SPINE, SPORTS & OCCUPATIONAL REHAB, PC.
Is MICHIANA SPINE, SPORTS & OCCUPATIONAL REHAB, PC active in the national directory?
MICHIANA SPINE, SPORTS & OCCUPATIONAL REHAB, PC's public NPI profile is in an active state.
Can you summarize MICHIANA SPINE, SPORTS & OCCUPATIONAL REHAB, PC's specialty in plain language?
Clinically, the directory lists MICHIANA SPINE, SPORTS & OCCUPATIONAL REHAB, PC with Interventional Pain Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for MICHIANA SPINE, SPORTS & OCCUPATIONAL REHAB, PC?
The page summarizes Mishawaka, Indiana for MICHIANA SPINE, SPORTS & OCCUPATIONAL REHAB, PC; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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MICHIANA SPINE, SPORTS & OCCUPATIONAL REHAB, PC

Interventional Pain Medicine Physician
3740 EDISON LAKES PKWY
NPI: 1407115884