FAODAIL PAIN MANAGEMENT, LLC (NPI# 1114524824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114524824 |
| Entity Type | Organization |
| Organization Name | FAODAIL PAIN MANAGEMENT, LLC |
| Practice Address |
252 Mechanic St Lebanon NH 03766-2613 |
| Practice Telephone | 6034481941 |
| Practice Fax Number | 6034486059 |
| Mailing Telephone | 6034481941 |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |
| Authorized Official Name | MELYNDA WALLACE (OWNER) |
| Authorized Official Telephone | 6034481941 |
| Authorized Official Credential | CRNA, DNP, MSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
252 MECHANIC ST |
| City | LEBANON |
| State | NH |
| Zip Code | 03766-2613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881672137 | Melynda Kaye Wallace | Nurse Practitioner | 252 Mechanic St, Lebanon, NH 03766-2613 | 2006-01-06 |
| 1972129203 | Jennifer D Roux | Nurse Practitioner | 252 Mechanic St, Lebanon, NH 03766-2618 | 2020-06-23 |
| 1568916948 | Cheryl Fitts | Physician Assistant | 252 Mechanic St, Lebanon, NH 03766-2613 | 2016-08-15 |
| 1710258488 | Matthew G Smith | Nurse Practitioner | 252 Mechanic St, Lebanon, NH 03766-2613 | 2012-01-26 |
| 1215127238 | Margaret B Welch | Physician Assistant | 252 Mechanic St, Lebanon, NH 03766-2613 | 2007-07-26 |
| 1619167830 | Lisa Buck-rogers | Physician Assistant | 252 Mechanic St, Lebanon, NH 03766-2613 | 2007-07-25 |
| 1538201009 | Ernst M Oidtmann | Family Medicine | 252 Mechanic St, Lebanon, NH 03766-2613 | 2007-02-13 |
| 1518009901 | Family Health Center, P.a. | Family Medicine | 252 Mechanic St, Lebanon, NH 03766-2613 | 2007-02-13 |
| 1154424216 | Karen Loring | Internal Medicine | 252 Mechanic St, Lebanon, NH 03766-2613 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033580345 | Leah E Abrahamsen | Social Worker | 85 Mechanic Street Suite 3b-1, Dartmouth Hitchcock - Psychiatry, Lebanon, NH 03766 | 2015-10-13 |
| 1871982801 | Steps Opioid Addiction Treatment | Clinic/Center | 1 Glen Road, Suite 216, Lebanon, NH 03766 | 2015-01-14 |
| 1811282288 | Lisa Golden Morse | Occupational Therapist | 23 Mahon St, Lebanon, NH 03766 | 2011-06-14 |
| 1750607131 | Timothy Joseph Lin | Orthopaedic Surgery | 1 Medical Center Drive Orthopaedics, Lebanon, NH 03766 | 2010-04-11 |
| 1457673857 | Melanie A Baker | Dental Hygienist | One Court Street, Suite 270, Lebanon, NH 03766 | 2010-02-26 |
| 1568613073 | Peter Keith Isquith | Clinical Neuropsychologist | 367 Route 120 Unit B1, Hanover Road Professional Center, Lebanon, NH 03766 | 2008-10-02 |
| 1235317512 | Leslie Sudak | Speech-Language Pathologist | 10 Mascoma St, Lebanon, NH 03766 | 2008-02-08 |
| 1891973269 | Dc Whitfield | Nurse Practitioner | 20 W Park St Ste 418, Lebanon, NH 03766 | 2008-02-07 |
| 1588879951 | Charles R Meyers | Acupuncturist | 2 Whipple Place, Lebanon, NH 03766 | 2007-05-11 |
| 1285859686 | Thomas A Johnston | Dentist | 206 Heater Road, Lebanon, NH 03766 | 2007-04-13 |
| Find all providers in zip 03766 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932362191 | George G. Thomson, Md | Pain Medicine | 69 Main St, Peterborough, NH 03458-2419 | 2008-07-08 |
| 1831128479 | Aaron Steven Geller | Pain Medicine | 154 Broad St, Nashua, NH 03063-3205 | 2006-07-03 |
| 1548299183 | Nashua Pain Management Corporation | Pain Medicine | 154 Broad St, Nashua, NH 03063-3205 | 2006-07-03 |
| 1578525358 | Elliot Professional Services | Pain Medicine | 185 Queen City Ave, Pain Management - Elliot Hospital, Manchester, NH 03101-7100 | 2006-04-05 |
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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.