ADVANCED SPINE AND PAIN CENTER, P.A. (NPI# 1003275603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003275603 |
Entity Type | Organization |
Organization Name | ADVANCED SPINE AND PAIN CENTER, P.A. |
Practice Address |
166 Springbrook Ave Suite 105 Clayton NC 27520-8520 |
Practice Telephone | 9193598643 |
Enumeration Date | 2016-02-11 |
Last Update Date | 2016-02-11 |
Authorized Official Name | RACHID IDRISSI (PHYSICIAN OWNER) |
Authorized Official Telephone | 9198941740 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376902775 | Advanced Spine and Pain Center, P.a. | Pain Medicine | 518 Sandhurst Dr, Fayetteville, NC 28304-4426 | 2016-02-15 |
1255799375 | Advanced Spine and Pain Center, P.a. | Pain Medicine | 1 Medical Dr, Benson, NC 27504-1177 | 2016-02-03 |
1639317332 | Advanced Spine and Pain Center, P.a. | Pain Medicine | 1 Medical Dr, Benson, NC 27504-1177 | 2009-02-03 |
Street Address |
166 SPRINGBROOK AVE SUITE 105 |
City | CLAYTON |
State | NC |
Zip Code | 27520-8520 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780771220 | Richard John Alioto | Orthopaedic Surgery | 166 Springbrook Ave, Suite 101, Clayton, NC 27520-8520 | 2006-10-06 |
1952760704 | William Clayton | Physical Therapist | 166 Springbrook Ave, Ste 201, Clayton, NC 27520-8520 | 2016-02-22 |
1144699091 | Caitlin Cook | Physical Therapist | 166 Springbrook Ave, Suite 201, Clayton, NC 27520-8520 | 2015-09-22 |
1659747277 | Lauren Farell | Physical Therapist | 166 Springbrook Ave, Suite 201, Clayton, NC 27520-8520 | 2015-08-18 |
1912336702 | Chetan Dilip Kapat | Physician Assistant | 166 Springbrook Ave, Suite 101, Clayton, NC 27520-8520 | 2013-11-02 |
1548454127 | Pinnacle Health Services of North Carolina, LLC | Physiological Laboratory | 166 Springbrook Ave, Suite 103, Clayton, NC 27520-8520 | 2007-08-28 |
1861514556 | Aaron Parkin Leininger | Family Medicine | 166 Springbrook Ave, Suite 101, Clayton, NC 27520 | 2007-04-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336750959 | Ebony Nichole Sanders | Driver | 312 Kilgo, Clayton, NC 27520 | 2020-08-17 |
1831701382 | Deawna Jackson | Social Worker | 205 Gracie Lane, Clayton, NC 27520 | 2020-08-17 |
1952947798 | Mac Partners LLC | Home Health | 10027 Hwy 70 Business, Suite B, Clayton, NC 27520 | 2019-11-26 |
1386291102 | Benjamin R Anderson | Physician Assistant | 2138 Nc 42, Clayton, NC 27520 | 2019-08-26 |
1396217923 | Lindsey R. Williams Dds, Pa | Dentist | 45 Shotwell Rd., Clayton, NC 27520 | 2018-12-20 |
1063987303 | Christopher James Lane | Physician Assistant | 2076 Nc 42 W, Suite 230, Clayton, NC 27520 | 2018-10-12 |
1245733971 | Cordelia O Emebo | Pharmacist | 11360 Old Us Hwy 70 West, Clayton, NC 27520 | 2018-03-08 |
1487166906 | Kendall Bonot Rodgers | Physician Assistant | 11491 Us 70 Bus Hwy W, Clayton, NC 27520 | 2017-10-25 |
1033620828 | Laura Nguyen | Physician Assistant | 2076 Nc-42, Suite 230, Clayton, NC 27520 | 2017-10-19 |
1467974394 | Liliana Galvan | Social Worker | 510 W Main St., Suit 100, Clayton, NC 27520 | 2017-07-12 |
Find all providers in zip 27520 |
Taxonomy Code | 2081P2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Pain Medicine |
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659836591 | Advanced Regenerative Care, Pllc | Physical Medicine & Rehabilitation | 504 C Red Banks Road, Greenville, NC 27858 | 2019-02-05 |
1992160659 | Carolina Sports and Spine | Physical Medicine & Rehabilitation | 1700 Forest Hills Rd W, Wilson, NC 27893-3411 | 2015-12-23 |
1811399850 | Mitchell Bloom | Physical Medicine & Rehabilitation | Oak Branch Drive, Suite 7e, Greensboro, NC 27407-2380 | 2014-09-22 |
1881619005 | Fan Xi | Physical Medicine & Rehabilitation | 2800 Ashton Drive, Suite 100, Wilmington, NC 28412-2486 | 2006-07-12 |
1093753329 | Edward Anthony Overton | Physical Medicine & Rehabilitation | 10310 Mallard Creek Rd, Ste 101-c, Charlotte, NC 28262-9771 | 2006-06-02 |
1487632881 | Mark Allen Goodson | Physical Medicine & Rehabilitation | 114 Welton Way Ste A, Mooresville, NC 28117-9251 | 2006-01-05 |
1083696892 | Ronald Vandernoord | Physical Medicine & Rehabilitation | 710 Park Center Dr Ste 300, Matthews, NC 28105-5082 | 2005-11-17 |
1922095520 | Angelo Tellis | Physical Medicine & Rehabilitation | 2111 Neuse Blvd. Suite J, New Bern, NC 28560-4317 | 2005-09-29 |
1578569166 | Thomas Francis Florian | Physical Medicine & Rehabilitation | 4901 Dawn Dr, Suite 3300, Lumberton, NC 28360-8287 | 2005-06-28 |
1619524097 | Novant Medical Group Inc | Physical Medicine & Rehabilitation | 3515 W Market St Ste 210, Greensboro, NC 27403-4442 | 2019-08-21 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.