ADVANCED SPINE AND PAIN CENTER, P.A.


Address: 166 Springbrook Ave, Suite 105, Clayton, NC 27520-8520
Phone: 9193598643

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).

Provider Overview

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

Taxonomy

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

Other Provider IDs and Locations

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

Office Location

Street Address 166 SPRINGBROOK AVE
SUITE 105
City CLAYTON
State NC
Zip Code 27520-8520

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2081P2900X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Pain Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and state

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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Competitor

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City CLAYTON
Zip Code 27520

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Dataset Information

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.

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