COLUMBIA INTERVENTIONAL PAIN CENTER LLP (NPI# 1093828584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093828584 |
| Entity Type | Organization |
| Organization Name | COLUMBIA INTERVENTIONAL PAIN CENTER LLP |
| Practice Address |
305 N Keene St Suite #105 Columbia MO 65201-6897 |
| Mailing Address |
Po Box 7237 Columbia MO 65205-7237 |
| Practice Telephone | 5734422299 |
| Practice Fax Number | 5734423196 |
| Mailing Telephone | 5734686501 |
| Mailing Fax Number | 5734686502 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2014-09-24 |
| Authorized Official Name | MS. JULIA A MESTON (ADMINISTRATOR) |
| Authorized Official Telephone | 5734422299 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 507608008 | 05 |
| Street Address |
305 N KEENE ST SUITE #105 |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201-6897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477547461 | Richard M. Wolkowitz | Anesthesiology | 305 N Keene St, Suite 105, Columbia, MO 65201-6897 | 2005-09-06 |
| 1609280189 | Veronica Conaway Sievert | Family Medicine | 305 N Keene St, Columbia, MO 65201-6897 | 2014-06-12 |
| 1659792695 | Jaime Basnett | Nurse Practitioner | 305 N Keene St, Suite 203, Columbia, MO 65201-6897 | 2013-12-18 |
| 1942562897 | Natalie Abert Long | Family Medicine | 305 N Keene St, Columbia, MO 65201-6897 | 2012-06-15 |
| 1871649020 | Jennings Eye Associates, P.C. | Optometrist | 305 N Keene St, Suite 205, Columbia, MO 65201-6897 | 2007-01-28 |
| 1417021536 | Karen P Johnson | Nurse Anesthetist, Certified Registered | 305 N Keene St, Boone Surgery, Suite #107, Columbia, MO 65201-6897 | 2006-11-20 |
| 1376614404 | David Michael Jennings Jr. | Optometrist | 305 N Keene St, Suite 205, Columbia, MO 65201-6897 | 2006-11-12 |
| 1386714194 | Columbia Podiatry, L.L.C. | Podiatrist | 305 N Keene St, Suite 209, Columbia, MO 65201-6623 | 2006-11-09 |
| 1023121308 | Sonal Ashutosh Patil | Family Medicine | 305 N Keene St, Columbia, MO 65201-6897 | 2006-08-17 |
| 1275545279 | Surgery Center of Columbia Lp | Clinic/Center | 305 N Keene St, Ste 107, Columbia, MO 65201-6897 | 2006-08-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
| 1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
| 1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
| 1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
| 1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
| 1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
| 1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
| Find all providers in zip 65201 | ||||
| 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 |
|---|---|---|---|---|
| 1144576612 | Firstchoice Healthcare PC | Pain Medicine | 7021 Saint Andrews Rd, Suite 1, Columbia, SC 29212-1177 | 2012-08-02 |
| 1326344086 | Firstchoice Healthcare, PC | Pain Medicine | 120 Highland Center Dr, Suite 105, Columbia, SC 29203-9127 | 2011-01-28 |
| 1194856773 | Gregory Richard Bowers | Pain Medicine | 1510 Hatcher Ln, Suite 1, Columbia, TN 38401-4813 | 2007-03-08 |
| 1952396384 | Giovanni Faccia | Pain Medicine | 230 E James M Campbell Blvd Ste 102, Columbia, TN 38401-0504 | 2005-09-12 |
| 1376175000 | Carolina Pain Solutions, LLC | Pain Medicine | 2712 Middleburg Dr Ste 206, Columbia, SC 29204-2415 | 2020-02-11 |
| 1831661503 | Midlands Comprehensive Pain, LLC | Pain Medicine | 2601 Millwood Ave, Columbia, SC 29205-1218 | 2018-12-19 |
| 1922511658 | Carolina Healthchoice of Columbia, LLC | Pain Medicine | 1494 Lake Murray Blvd, Columbia, SC 29212-8697 | 2017-11-16 |
| 1871021550 | Midlands Pain Solutions LLC | Pain Medicine | 4531 Hard Scrabble Rd, Columbia, SC 29229-8561 | 2017-05-25 |
| 1689004277 | Center for Pain Management, LLC | Pain Medicine | 7120 Minstrel Way, Ste. 106, Columbia, MD 21045-5248 | 2013-11-18 |
| 1588926711 | Steve Storick, Md, Pa | Pain Medicine | 223 Stoneridge Dr, Columbia, SC 29210-8049 | 2012-06-13 |
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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.