SALEM PAIN AND SPINE SPECIALISTS PC (NPI# 1124316567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124316567 |
| Entity Type | Organization |
| Organization Name | SALEM PAIN AND SPINE SPECIALISTS PC |
| Practice Address |
1100 22nd St Se Salem OR 97302-6558 |
| Practice Telephone | 5039676771 |
| Practice Fax Number | 5033858421 |
| Mailing Telephone | 5039676771 |
| Mailing Fax Number | 5033858421 |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2020-10-20 |
| Authorized Official Name | CARLOS A MONREAL (BUSINESS MANAGER) |
| Authorized Official Telephone | 5039676771 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine & OMM | Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1100 22ND ST SE |
| City | SALEM |
| State | OR |
| Zip Code | 97302-6558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144428079 | Rebeca M Monreal | Physical Medicine & Rehabilitation | 1100 22nd St Se, Salem, OR 97302-6558 | 2007-07-03 |
| 1538401724 | Kristen Marie Brusky | Physical Medicine & Rehabilitation | 1100 22nd St Se, Salem, OR 97302-6558 | 2013-03-26 |
| 1790074490 | Maya Modzelewska | Physical Medicine & Rehabilitation | 1100 22nd St Se, Salem, OR 97302-6558 | 2011-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| 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 |
|---|---|---|---|---|
| 1144428079 | Rebeca M Monreal | Physical Medicine & Rehabilitation | 1100 22nd St Se, Salem, OR 97302-6558 | 2007-07-03 |
| 1316423734 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 1015 25th St Se, Salem, OR 97301-5049 | 2018-07-18 |
| 1689694101 | Paul Christopher Coelho | Physical Medicine & Rehabilitation | 875 Oak St Se, Salem, OR 97301-3975 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225650864 | David Edison Harris | Physical Medicine & Rehabilitation | 707 Murphy Rd Ste 101, Medford, OR 97504-8520 | 2020-05-16 |
| 1265062202 | Resurgent Health, LLC | Physical Medicine & Rehabilitation | 2850 Se Powell Valley Rd Ste 205a, Gresham, OR 97080-1489 | 2020-01-17 |
| 1568003887 | Transform Health LLC | Physical Medicine & Rehabilitation | 1200 Executive Pkwy Ste 260, Eugene, OR 97401-2199 | 2019-10-08 |
| 1215434519 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 17175 Sw Tualatin Valley Hwy Ste A-1, Beaverton, OR 97003-4584 | 2018-04-12 |
| 1275037020 | Daniel Eric Marsh Jr. | Physical Medicine & Rehabilitation | 14290 Marjorie Ln Apt 2098, Oregon City, OR 97045-7863 | 2018-03-19 |
| 1013417351 | Burnside Surgery Center LLC | Physical Medicine & Rehabilitation | 689 Nw Burnside Rd Fl 1, Gresham, OR 97030-3739 | 2018-02-13 |
| 1902117898 | Jennifer K Cann | Physical Medicine & Rehabilitation | 9400 Sw Beaverton Hillsdale Hwy Ste 205, Beaverton, OR 97005-3349 | 2010-06-25 |
| 1639303597 | Trevor Dee Jorgensen | Physical Medicine & Rehabilitation | 2003 Cedar St, Forest Grove, OR 97116-1701 | 2009-05-07 |
| 1033319124 | Gregory M Phillips | Physical Medicine & Rehabilitation | 74b Centennial Loop Ste 300, Neurospine Institute LLC, Eugene, OR 97401-7925 | 2007-07-18 |
| 1407335979 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 17175 Sw Tualatin Valley Hwy, Beaverton, OR 97003-4584 | 2018-08-07 |
| 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.