ADVANCED INTERVENTIONAL PAIN MANAGEMENT, P.C. (NPI# 1093916546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093916546 |
| Entity Type | Organization |
| Organization Name | ADVANCED INTERVENTIONAL PAIN MANAGEMENT, P.C. |
| Practice Address |
2080 Bridgeport Ave Ste C Milford CT 06460 |
| Mailing Address |
Po Box 264 Shelton CT 06484-0264 |
| Practice Telephone | 2038768854 |
| Practice Fax Number | 2038762626 |
| Mailing Telephone | 2038768854 |
| Mailing Fax Number | 2038762626 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2018-08-02 |
| Authorized Official Name | DR. JEFFREY CARRUTH (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2038768854 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
041160 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
2080 BRIDGEPORT AVE STE C |
| City | MILFORD |
| State | CT |
| Zip Code | 06460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861529018 | Jeffrey Carruth | Anesthesiology | 2080 Bridgeport Ave Ste C, Milford, CT 06460 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326678616 | Tracy Southworth | Social Worker | 4 Oxford Road, Suite B-6, Milford Ct, CT 06460 | 2020-01-25 |
| 1598301707 | Mahboob Ur Rehman | Pharmacist | 1082 Boston Post Road, Milford, CT 06460 | 2019-11-22 |
| 1750800223 | Caitlin E Kingston | Counselor | 48 Argyle Rd, Milford, CT 06460 | 2017-09-15 |
| 1912437609 | Vanessa Elizabeth Kellas | Counselor | 949 Bridgport Ave, Milford, CT 06460 | 2017-06-14 |
| 1548634454 | Rian Degroat | Case Manager/Care Coordinator | 949-941 Bridgeport Ave, Milford, CT 06460 | 2015-11-17 |
| 1619354446 | Stephanie Meoli | Occupational Therapist | 195 Platt Street, Milford, CT 06460 | 2015-04-30 |
| 1588069298 | Elizabeth Laliberte | Counselor | 37 Bridgeport Ave, 2nd Floor, Milford, CT 06460 | 2014-10-24 |
| 1366869851 | Chamonix Sikora | Speech-Language Pathologist | 8b Church Street South, Westport, CT 06460 | 2014-03-24 |
| 1528404688 | Alexandra Garces | Nutritionist | 150 New Haven Avenue, Milford, CT 06460 | 2013-05-16 |
| 1598100869 | Seabright Cardiovascular Center, LLC | Internal Medicine | 353 Bridgeport Ave, Milford, CT 06460 | 2013-05-01 |
| Find all providers in zip 06460 | ||||
| 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 |
|---|---|---|---|---|
| 1760504179 | Emily A. Desantis | Pain Medicine | 4580 State Highway 28, Milford, NY 13807-1147 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256378 | Pain & Spine Specialists of Connecticut, LLC | Pain Medicine | 75 Kings Highway Cutoff Ste 3a, Fairfield, CT 06824-5340 | 2020-08-20 |
| 1770109910 | Rejuvenate Joint and Spine Pllc | Pain Medicine | 75 Tresser Blvd Unit 429, Stamford, CT 06901-3360 | 2020-06-23 |
| 1275804189 | Robinson Pa, LLC | Pain Medicine | 85 Barnes Rd Ste 201, Wallingford, CT 06492-1832 | 2012-01-24 |
| 1245472604 | Connecticut Regional Pain Specialists,llc | Pain Medicine | 2447 Whitney Ave Ste 2b, Hamden, CT 06518-3211 | 2009-04-01 |
| 1467588020 | Pain & Spine Specialists of Connecticut, LLC | Pain Medicine | 67 Sandpit Rd, Suite 308, Danbury, CT 06810-4032 | 2007-02-26 |
| 1548322878 | Joe Lee | Pain Medicine | 80 Brewster Rd, Ct Spine and Pain, Bristol, CT 06010 | 2006-12-14 |
| 1235163536 | Eugene Lucier | Pain Medicine | 142 Hazard Ave, Enfield, CT 06082-4520 | 2006-07-10 |
| 1841257185 | Eric D Grahling | Pain Medicine | 440 New Britain Ave, Comprehensive Pain Management of Central Ct, LLC, Plainville, CT 06062 | 2006-04-28 |
| 1881674398 | Yasser Shaheen | Pain Medicine | 677 S Main St, Cheshire, CT 06410-3158 | 2006-01-19 |
| 1477197671 | Spine Center of Ct, Pllc | Pain Medicine | 67 Sand Pit Rd Ste 308, Danbury, CT 06810-4032 | 2019-10-30 |
| 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.