BACK PAIN INC (NPI# 1124140918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124140918 |
| Entity Type | Organization |
| Organization Name | BACK PAIN INC |
| Practice Address |
3333 S Crater Rd Petersburg VA 23805-9276 |
| Mailing Address |
Po Box 3466 Petersburg VA 23805-3466 |
| Practice Telephone | 8047336870 |
| Practice Fax Number | 8042269496 |
| Mailing Telephone | 8042268923 |
| Mailing Fax Number | 8042269496 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2008-02-27 |
| Authorized Official Name | MS. VALERIE IRVIN (MANAGER) |
| Authorized Official Telephone | 8042268923 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | SOUTHERN HEALTH | 608600 | 01 |
| VA | ANTHEM | 249778 | 01 |
| VA | CARNET | 71574 | 01 |
| Street Address |
3333 S CRATER RD |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23805-9276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021720 | Total Homecare Corporation | Durable Medical Equipment & Medical Supplies | 3333 S Crater Rd, Ste 5, Petersburg, VA 23805 | 2005-05-27 |
| 1295200681 | Commonwealth Foot and Ankle, Inc. | Podiatrist | 3333 S Crater Rd, Petersburg, VA 23805-9276 | 2018-10-11 |
| 1518135763 | Edward Boakye M.d.,p.c | Internal Medicine | 3333 S Crater Rd, Suite 3 C, Petersburg, VA 23805-9276 | 2008-02-11 |
| 1225157514 | Amedisys Home Health Inc of Virginia | Home Health | 3333 S Crater Rd, Suite 4-b, Petersburg, VA 23805-9276 | 2007-03-28 |
| 1376682153 | Dr Marc Jay Pinsky PC | Podiatrist | 3333 S Crater Rd, Suite 3e, Petersburg, VA 23805-9276 | 2007-02-06 |
| 1902910417 | Gilda H. Pegram | Registered Nurse | 3333 S Crater Rd, ., Petersburg, VA 23805-9276 | 2006-08-19 |
| 1699781393 | Alliance Family Health Care, PC | Family Medicine | 3333 S Crater Rd, Suite 3a, Petersburg, VA 23805-9276 | 2006-08-01 |
| 1457378804 | Alliance Family Practice, PC | Nurse Practitioner | 3333 S Crater Rd, Suite 3a, Petersburg, VA 23805-9276 | 2006-07-15 |
| 1386698124 | Jeffrey Hall Pinsky | Podiatrist | 3333 S Crater Rd, Petersburg, VA 23805-9276 | 2006-05-19 |
| 1174590186 | Marc Jay Pinsky | Podiatrist | 3333 S Crater Rd, Suite 3e, Petersburg, VA 23805-9276 | 2006-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134690647 | Miles Viant | Occupational Therapist | 287 E Blvd, Petersburg, VA 23805 | 2018-12-10 |
| 1245756964 | Dexter Shabazz Lett | Registered Nurse | 10543 S. Crater Rd, S. Prince George, VA 23805 | 2017-08-15 |
| 1891145876 | Taylor Enhanced Living | Counselor | 105 Holly Hill Dive, Suite A, Petersburg, VA 23805 | 2016-06-21 |
| 1700255205 | Ina Thompson | Counselor | 272 Medical Park Boulevard, Petersburg, VA 23805 | 2015-09-15 |
| 1932582541 | Valeria Edda Madrid Malo Bohorquez | Internal Medicine | 50 Medical Park Blvd Ste C, Petersburg, VA 23805 | 2015-06-30 |
| 1548642788 | Justin Andrew Phillingane | Podiatrist | 3335 S Crater Rd Ste 500, Petersburg, VA 23805 | 2015-06-24 |
| 1225417082 | Paladin Dermatology LLC | Nurse Practitioner | 44 A& B Medical Park Blvd, Petersburg, VA 23805 | 2015-05-27 |
| 1245652544 | Family Services Inc. | Health Maintenance Organization | 1045 Gustavo Lane, Petersburg, VA 23805 | 2014-01-06 |
| 1619268075 | Charlene Belangia | Massage Therapist | 3323 S. Crater Rd, Suite B, Petersburg, VA 23805 | 2011-04-20 |
| 1760709638 | Caresouth Hha Holdings of Virginia, LLC | Home Health | 34 Medical Park Boulevard, Suite G-h, Petersburg, VA 23805 | 2010-04-30 |
| Find all providers in zip 23805 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124421318 | Bon Secours St. Francis Medical Center, Inc. | Family Medicine | 32 W Washington St, Suite B, Petersburg, VA 23803-4224 | 2014-10-01 |
| 1538347943 | Larry C. Rogers | Family Medicine | Memorial Dr, Petersburg, WV 26847 | 2008-02-07 |
| 1396866448 | Vanessa O Johnson | Family Medicine | 50 Medical Park Blvd, Suite B, Petersburg, VA 23805-9275 | 2007-04-03 |
| 1780700765 | Southside Family Practice P.C. | Family Medicine | 24 S Adams St, Petersburg, VA 23803-4525 | 2007-03-22 |
| 1255401303 | Robert W Vaughan | Family Medicine | 315 Brown St, Petersburg, VA 23803-4232 | 2006-11-08 |
| 1043395668 | Larry Calvin Rogers | Family Medicine | 7 Memorial Drive, Petersburg, WV 26847-0007 | 2006-10-25 |
| 1124055314 | Mark W Puffenberger | Family Medicine | 111 S Grove St Ste 1, Petersburg, WV 26847-1805 | 2006-06-26 |
| 1114995370 | Bonnie Lohrbach | Family Medicine | 541 S Sycamore St, Petersburg, VA 23803-5039 | 2006-03-14 |
| 1760457261 | Amanda L. Meeks | Family Medicine | 1 Centre Dr, Petersburg, IL 62675-9584 | 2006-02-20 |
| 1437122843 | The Petersburg Medical Center | Family Medicine | 103 Fram Street, Petersburg, AK 99833-0589 | 2006-02-08 |
| Find all providers in PETERSBURG | ||||
| City | PETERSBURG |
| Zip Code | 23805 |
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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.