ADVANCED PAIN SOLUTIONS, LLC (NPI# 1083904163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083904163 |
| Entity Type | Organization |
| Organization Name | ADVANCED PAIN SOLUTIONS, LLC |
| Practice Address |
112 Portland Ave Redding CT 06896-3119 |
| Practice Telephone | 2035449090 |
| Practice Fax Number | 2035447300 |
| Mailing Telephone | 2035449090 |
| Mailing Fax Number | 2035447300 |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-04-11 |
| Authorized Official Name | MR. PERRY M PERRETZ (PHYSICIAN) |
| Authorized Official Telephone | 2035449090 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 042785 | CT | Allopathic & Osteopathic Physicians |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
041516 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
112 PORTLAND AVE |
| City | REDDING |
| State | CT |
| Zip Code | 06896-3119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467964957 | Beverley Hyacinth Campbell | Licensed Practical Nurse | 108 Blackrock Turnpike, Redding Ridge, CT 06896 | 2017-10-25 |
| 1902352966 | Katherine Fleming | Specialist | 9 Redcoat Lane, Redding, CT 06896 | 2016-08-30 |
| 1871812347 | Redding Board of Education | Local Education Agency (LEA) | 33 Lonetown Road, Redding Elementary School, Redding, CT 06896 | 2010-05-24 |
| 1205003977 | Jay M Seewald | Dentist | Station Place, Redding, CT 06896 | 2008-05-13 |
| 1699954370 | Nancy Mcgrath Bottger | Social Worker | 10 Farview Farm Rd, Redding, CT 06896 | 2007-10-30 |
| 1982708343 | Constance Lawrence | Marriage & Family Therapist | 2103 Meadow Ridge, Redding, CT 06896 | 2006-09-07 |
| 1902324650 | Hs Smiles,llc | Dentist | 2 Long Ridge Rd, West Redding, CT 06896-1111 | 2017-09-01 |
| 1053928911 | Han Anesthesiology | Clinic/Center | 2 Long Ridge Rd, Redding, CT 06896-1111 | 2020-09-24 |
| 1104450956 | Bethany Sr Pllc | Clinic/Center | 2 Long Ridge Rd, Redding, CT 06896-1111 | 2020-03-01 |
| 1538132725 | Redding Fire District 2 | Ambulance | 306 Umpawaug Rd, Redding, CT 06896-1213 | 2006-02-09 |
| Find all providers in zip 06896 | ||||
| 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 |
|---|---|---|---|---|
| 1134740566 | Interventional Orthopedics Ct, P.c | Physical Medicine & Rehabilitation | 195 Danbury Rd Ste B200, Wilton, CT 06897-6009 | 2020-04-27 |
| 1194165951 | Katherine Rodriguez | Physical Medicine & Rehabilitation | 35 6th St, Stamford, CT 06905-4603 | 2013-06-26 |
| 1013229103 | Robin D Raju | Physical Medicine & Rehabilitation | 1 Long Wharf Dr Fl 6, New Haven, CT 06511 | 2010-07-06 |
| 1205147352 | Jonathan G. Tuma | Physical Medicine & Rehabilitation | 22 Marjorie St, Mystic, CT 06355-3626 | 2010-06-23 |
| 1154580827 | Bohdan J Warycha | Physical Medicine & Rehabilitation | 1579 Straits Tpke Lowr Level, Middlebury, CT 06762-1835 | 2008-06-06 |
| 1699843888 | Perry Michael Perretz | Physical Medicine & Rehabilitation | 112 Portland Ave, West Redding, CT 06896-3119 | 2006-12-04 |
| 1528068921 | Arpad Sandor Fejos | Physical Medicine & Rehabilitation | 512 Saybrook Rd, Suite 100, Middletown, CT 06457-4788 | 2005-07-28 |
| 1639506967 | Hans Knopp | Physical Medicine & Rehabilitation | 1579 Straits Tpke, Middlebury, CT 06762 | 2013-10-01 |
| 1760828172 | David Emmanuel Gutierrez | Physical Medicine & Rehabilitation | 800 Howard Ave Fl 1, New Haven, CT 06519 | 2013-05-14 |
| 1427396019 | Kyle Silva | Physical Medicine & Rehabilitation | 888 White Plains Rd Ste 105&106, Trumbull, CT 06611-4552 | 2013-01-16 |
| 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.