CAPE COD PAIN MANAGEMENT, PC (NPI# 1073566410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073566410 |
| Entity Type | Organization |
| Organization Name | CAPE COD PAIN MANAGEMENT, PC |
| Practice Address |
68 N Main St Carver MA 02330 |
| Mailing Address |
68 N Main St Carver MA 02330-1128 |
| Practice Telephone | 5087477246 |
| Practice Fax Number | 5087477256 |
| Mailing Telephone | 5087477246 |
| Mailing Fax Number | 5087477256 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2019-10-29 |
| Authorized Official Name | DR. DAVID GANNON (PRESIDENT) |
| Authorized Official Telephone | 5087477246 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | MA | Allopathic & Osteopathic Physicians | |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9785825 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 68 N Main St, Carver, MA 02330 | 5087477246 | 5087477256 |
| Street Address |
68 N MAIN ST |
| City | CARVER |
| State | MA |
| Zip Code | 02330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518966472 | David P Gannon Jr. | Anesthesiology | 68 N Main St, Carver, MA 02330-1128 | 2005-07-21 |
| 1659509164 | East Pond Enterprises Inc | Clinic/Center | 68 N Main St, Carver, MA 02330 | 2009-06-24 |
| 1447203500 | Jordan Hospital Anesthesia Associates, PC | Pain Medicine | 68 N Main St, Carver, MA 02330-1128 | 2006-05-18 |
| 1003893900 | Frederick Vincent Johnson | Psychologist | 68 N Main St, Carver, MA 02330-1128 | 2005-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528261401 | Samantha L Faherty | Social Worker | 16 Harvest View Way, Carver, MA 02330 | 2007-06-07 |
| 1518009075 | Arnold Stuart Winn | Chiropractor | 96 N Main Street, Carver, MA 02330 | 2007-02-13 |
| 1558384818 | Leonid Y Spivak | Dentist | 1a Fuller Street, Carver, MA 02330 | 2006-07-26 |
| 1659450039 | Irwin A Lakin | Dentist | 9 North Main St, Carver, MA 02330 | 2006-11-04 |
| 1952689069 | Piecing The Puzzle | Community/Behavioral Health | 1 Hardhill Rd, Carver, MA 02330-1003 | 2011-07-25 |
| 1396105938 | Amy Fuller | Behavioral Analyst | 140 High St, Carver, MA 02330-1016 | 2016-02-24 |
| 1962576207 | John C. Breen | Specialist | 160 N Main St, Carver, MA 02330-1027 | 2006-11-20 |
| 1427657840 | Emily Soeder | Physical Therapist | 160 N Main St, Carver, MA 02330-1027 | 2020-10-19 |
| 1033342977 | Lauren Ruff | Physical Therapist | 160 N Main St, Carver, MA 02330-1027 | 2009-08-26 |
| 1073798765 | Back To Health Therapy | Chiropractor | 96 N Main St, Carver, MA 02330-1028 | 2008-01-01 |
| Find all providers in zip 02330 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447203500 | Jordan Hospital Anesthesia Associates, PC | Pain Medicine | 68 N Main St, Carver, MA 02330-1128 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336635606 | Orthopedic Medicine of Boston Pllc | Pain Medicine | 300 Congress St Ste 304, Quincy, MA 02169-0907 | 2018-07-10 |
| 1225335417 | Impar Corporation | Pain Medicine | 178 Westerly Rd, Plymouth, MA 02360-4535 | 2011-02-24 |
| 1609010008 | James R Gorman | Pain Medicine | 888 Worcester St Ste 95, Wellesley, MA 02482-3737 | 2009-04-29 |
| 1831189364 | Omar Hammam El Abd | Pain Medicine | 378 Washington St, Wellesley, MA 02481-6207 | 2005-10-26 |
| 1568972958 | North Shore Pain Center LLC | Pain Medicine | 900 Cummings Ctr Ste 221u, Beverly, MA 01915-6183 | 2017-10-11 |
| 1326574872 | North Shore Pain Treatment LLC | Pain Medicine | 900 Cummings Ctr, Suite 221u, Beverly, MA 01915-6198 | 2017-05-03 |
| 1942678560 | Orthopedics New England, Inc | Pain Medicine | 313 Speen St, Natick, MA 01760-1538 | 2015-09-14 |
| 1750779328 | Christopher James Britt | Pain Medicine | 203 Turnpike St, G1, North Andover, MA 01845-5042 | 2015-01-05 |
| 1174928543 | Seacoast Pain Center, LLC | Pain Medicine | 21 Highland Ave, Suite 16, Newburyport, MA 01950-3872 | 2014-10-28 |
| 1144643370 | North Shore Pain Care LLC | Pain Medicine | 800 W Cummings Park, Suite 1200, Woburn, MA 01801-6372 | 2014-01-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CAPE COD PAIN MANAGEMENT, PC.
| 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.