INTERVENTIONAL SPINE & PAIN REHABILITATION CENTER, INC (NPI# 1053596205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053596205 |
| Entity Type | Organization |
| Organization Name | INTERVENTIONAL SPINE & PAIN REHABILITATION CENTER, INC |
| Practice Address |
165 N Trimble Rd Mansfield OH 44906-2630 |
| Practice Telephone | 4195221100 |
| Practice Fax Number | 4195224118 |
| Mailing Telephone | 4195221100 |
| Mailing Fax Number | 4195224118 |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2012-06-25 |
| Authorized Official Name | DR. MICHAEL F STRETANSKI (PRESIDENT) |
| Authorized Official Telephone | 4195221100 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
34.007293 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2258560 | 05 |
| Street Address |
165 N TRIMBLE RD |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44906-2630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235196676 | Michael Francis Stretanski | Specialist | 165 N Trimble Rd, Mansfield, OH 44906-2630 | 2006-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920155 | Jonathan Clevenger | Pharmacist | 1455 North Lexington-springmill Road, Ontario, OH 44906 | 2020-10-21 |
| 1366083297 | Jennifer Robin Young | Technician | 60 Sherman Ave, Mansfield, OH 44906 | 2019-10-02 |
| 1639721905 | Lora Harris | Nurse Practitioner | 1029 S. Trimble Rd, Mansfield, OH 44906 | 2019-07-16 |
| 1871098855 | Med Gear Plus, LLC | Durable Medical Equipment & Medical Supplies | 1041 Park Ave W, Mansfield, OH 44906 | 2018-03-29 |
| 1912401209 | Bradley Anderson | Dietitian, Registered | 1025 South Trimble Rd., Mansfield, OH 44906 | 2018-03-21 |
| 1104325182 | Nancy Labaki | Speech-Language Pathologist | 2011 W. Fourth St., Mansfield, OH 44906 | 2018-02-06 |
| 1720518319 | Stephen Anderson | Counselor | 680 Park Ave W., Mansfield, OH 44906 | 2017-06-15 |
| 1427422518 | Jill A Waite | Counselor | 33 S. Lexington-springmill Road, Mansfield, OH 44906 | 2015-11-30 |
| 1992125397 | Taryn Boyd | Physical Therapist | 1025 S Trimble, Mansfield, OH 44906 | 2014-04-24 |
| 1356760870 | Sarah Brandyberry | Social Worker | 1025 S. Trimble Rd., Mansfield, OH 44906 | 2014-04-11 |
| Find all providers in zip 44906 | ||||
| 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 |
|---|---|---|---|---|
| 1831366475 | Antonio Reeves Rozier | Physical Medicine & Rehabilitation | 2800 E Broad St Ste 514, Mansfield, TX 76063-6417 | 2008-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386287936 | Novus Pain Management - Ohio LLC | Physical Medicine & Rehabilitation | 100 N Main St Ste 350, Chagrin Falls, OH 44022-2773 | 2019-10-25 |
| 1396218558 | Health Intrinsic Technology LLC | Physical Medicine & Rehabilitation | 41 Brookline Ave, Youngstown, OH 44505-2530 | 2019-01-09 |
| 1760884399 | Patrick T Boylan Md Inc | Physical Medicine & Rehabilitation | 9485 Mentor Ave Ste 203, Mentor, OH 44060-8723 | 2014-09-26 |
| 1750513867 | Comprehensive Pain Management & Electrodiagnostics, LLC | Physical Medicine & Rehabilitation | 80 N Portage Path, #ph7, Akron, OH 44303-1144 | 2009-08-23 |
| 1962654731 | James Edgar Lundeen Sr. | Physical Medicine & Rehabilitation | 26 Sandusky St, Plymouth, OH 44865-1113 | 2008-10-10 |
| 1679777528 | Kush Kumar Goyal | Physical Medicine & Rehabilitation | 1730 W 25th St # 2c, Center for Spine Health- Lutheran Hospital, Cleveland, OH 44113-3108 | 2007-06-13 |
| 1841316163 | University Primary Care Practices Inc | Physical Medicine & Rehabilitation | 50 Blaine Ave Ste 2300, Bedford, OH 44146-2709 | 2007-03-21 |
| 1467594986 | Tarulata M Patel | Physical Medicine & Rehabilitation | 50 Normandy Drive Suite #3, Liberty Medical Center, Painesville, OH 44077 | 2007-02-12 |
| 1184766602 | Maheshkumar P. Patel | Physical Medicine & Rehabilitation | 26250 Euclid Avenue, Suite 625, Euclid, OH 44132 | 2007-02-12 |
| 1205985967 | Southwest General Medical Group, Inc | Physical Medicine & Rehabilitation | 18780 Bagley Rd # 100, Cleveland, OH 44130-3304 | 2007-01-10 |
| Find all providers with the same taxonomy | ||||
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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.