INTERVENTIONAL PAIN ASSOCIATES (NPI# 1053945147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053945147 |
| Entity Type | Organization |
| Organization Name | INTERVENTIONAL PAIN ASSOCIATES |
| Practice Address |
4824 Mcmahon Blvd Nw Ste 109 Albuquerque NM 87114-5412 |
| Practice Telephone | 2104644234 |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-02-27 |
| Authorized Official Name | JOSHU RAITEN (OWNER) |
| Authorized Official Telephone | 2104644234 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538326871 | Interventional Pain Associates | Anesthesiology | 11111 Research Blvd, Suite 370, Austin, TX 78759-5264 | 2008-05-22 |
| 1275564445 | Interventional Pain Associates | Specialist | 111 Wanaque Ave, Pompton Lakes, NJ 07442 | 2006-07-06 |
| Street Address |
4824 MCMAHON BLVD NW STE 109 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87114-5412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891331773 | Head To Toe Wellness, LLC | Counselor | 4619 Greene Ave, Suite D, Albuquerque, NM 87114 | 2019-11-26 |
| 1255896353 | 32 Degrees Genuine, LLC | Counselor | 10143 4th St Nw, Albuquerque, NM 87114 | 2019-02-04 |
| 1548789365 | Maureen Chavez | Occupational Therapist | 10501 Golf Course, Albuquerque, NM 87114 | 2017-09-13 |
| 1982149043 | Professional Case Coordination Services LLC | Case Management | 4401 Aspen Glade Dr Nw, Albuquerque, NM 87114 | 2016-12-28 |
| 1124494323 | Geri Davis | Nurse Practitioner | 10511 Golf Course Rd Nw Ste 203, Albuquerque, NM 87114 | 2015-08-11 |
| 1427432111 | Marcia Nicole Cowen | Nurse Practitioner | 9210 Golfcourse Rd Nw, Albuquerque, NM 87114 | 2015-07-13 |
| 1013315399 | Amy Brown | Counselor | 707 Broadway Blvd. Ne, Suite 500, Albuquerque, NM 87114 | 2014-12-18 |
| 1851793392 | Elaine Barbara Beckett | Pharmacist | 10224 Coors-by-pass Nw, Albuquerque, NM 87114 | 2014-09-16 |
| 1174924344 | Sherrica Cressor | Counselor | 20 Pond Road, County Road 11, Cuba, NM 87114 | 2014-09-08 |
| 1427467513 | Colleen Temkin | Pharmacist | 10224 Coors By Pass Nw, Albuquerque, NM 87114 | 2014-08-04 |
| Find all providers in zip 87114 | ||||
| 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 |
|---|---|---|---|---|
| 1649343872 | Barrie W Ross | Physical Medicine & Rehabilitation | 7301 Jefferson Ne, Suite E, Albuquerque, NM 87109 | 2006-11-16 |
| 1770038408 | Sunita M Rajput Do, LLC | Physical Medicine & Rehabilitation | 100 Sun Ave Ne, Suite 650, Albuquerque, NM 87109-4659 | 2016-08-23 |
| 1518227131 | Justin Averna | Physical Medicine & Rehabilitation | 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 | 2012-05-17 |
| 1316996283 | Sunita M Rajput | Physical Medicine & Rehabilitation | 2211 Lomas Blvd Ne, 2 Acc. Msc10 5615, Albuquerque, NM 87106-2719 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356465694 | Lynda Holliday | Physical Medicine & Rehabilitation | 542 Juniper Dr, Santa Fe, NM 87501-1692 | 2007-03-19 |
| 1962529974 | Industrial Rehabilitation Clinic, PC | Physical Medicine & Rehabilitation | 1691 Galisteo St, Suite C2, Santa Fe, NM 87505-4780 | 2007-03-23 |
| 1083783542 | Beth Palmisano | Physical Medicine & Rehabilitation | 1631 Hospital Dr, Suite 110, Santa Fe, NM 87505-4728 | 2006-11-07 |
| 1801830179 | Theresa M. Genovese-elliott | Physical Medicine & Rehabilitation | 435 St. Michael's Drive, Suite A-202, Santa Fe, NM 87505-7672 | 2006-06-16 |
| City | ALBUQUERQUE |
| Zip Code | 87114 |
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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.