CENTER FOR INTERVENTIONAL PAIN & SPINE, LLC (NPI# 1144527003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144527003 |
| Entity Type | Organization |
| Organization Name | CENTER FOR INTERVENTIONAL PAIN & SPINE, LLC |
| Practice Address |
405 Silverside Rd Ste 104 Wilmington DE 19809-1768 |
| Mailing Address |
223 Wilmington W Chester Pike Ste 214 Chadds Ford PA 19317-9007 |
| Practice Telephone | 8443657246 |
| Practice Fax Number | 3027921372 |
| Mailing Telephone | 8443657246 |
| Mailing Fax Number | 6103617956 |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2020-10-07 |
| Authorized Official Name | VENKATESH SUNDARARAJAN (PARTNER) |
| Authorized Official Telephone | 6105258200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTER FOR INTERVENTIONAL PAIN & SPINE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710468129 | Center for Interventional Pain & Spine, LLC | Non-Pharmacy Dispensing Site | 1197 Airport Rd Ste 5, Milford, DE 19963-6418 | 2018-08-23 |
| 1821579236 | Center for Interventional Pain & Spine, LLC | Durable Medical Equipment & Medical Supplies | 160 N Pointe Blvd Ste 208, Lancaster, PA 17601-4134 | 2018-08-23 |
| 1760963177 | Center for Interventional Pain & Spine, LLC | Non-Pharmacy Dispensing Site | 3105 Limestone Rd Ste 300, Wilmington, DE 19808-2156 | 2018-08-23 |
| 1871074278 | Center for Interventional Pain & Spine, LLC | Durable Medical Equipment & Medical Supplies | 4701 Ogletown Stanton Rd Ste 1200, Newark, DE 19713-2079 | 2018-08-23 |
| 1003361908 | Center for Interventional Pain & Spine, LLC | Durable Medical Equipment & Medical Supplies | 270 Main St Ste 2, Harleysville, PA 19438-2400 | 2016-08-20 |
| 1811342496 | Center for Interventional Pain & Spine, LLC | Non-Pharmacy Dispensing Site | 2701 Blair Mill Rd Ste 35, Willow Grove, PA 19090-1041 | 2016-05-02 |
| 1942807391 | Center for Interventional Pain & Spine, LLC | Durable Medical Equipment & Medical Supplies | 140 Clemens Rd, Harleysville, PA 19438-2010 | 2020-10-07 |
| 1205317617 | Center for Interventional Pain & Spine, LLC | Non-Pharmacy Dispensing Site | 535 Pennsylvania Ave Ste 100, Fort Washington, PA 19034-3305 | 2018-08-23 |
| 1023599438 | Center for Interventional Pain & Spine, LLC | Non-Pharmacy Dispensing Site | 300 Welsh Rd Bldg 2, Horsham, PA 19044-2248 | 2018-08-23 |
| 1619320553 | Center for Interventional Pain & Spine, LLC | Non-Pharmacy Dispensing Site | 931 E Haverford Rd Ste 202, Bryn Mawr, PA 19010-3838 | 2016-07-15 |
| Street Address |
405 SILVERSIDE RD STE 104 |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19809-1768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740232362 | Terence F Duffy | Physical Medicine & Rehabilitation | 405 Silverside Rd Ste 104, Wilmington, DE 19809 | 2006-05-16 |
| 1770122764 | First State Pharmacy | Pain Medicine | 405 Silverside Rd Ste 104, Wilmington, DE 19809-1768 | 2019-12-23 |
| 1528605912 | Stephen Mccann | Nurse Practitioner | 405 Silverside Rd Ste 104, Wilmington, DE 19809-1768 | 2019-12-04 |
| 1225419294 | Yasmin Elkhashab | Anesthesiology | 405 Silverside Rd Ste 104, Wilmington, DE 19809-1768 | 2015-06-15 |
| 1134514706 | Jason Roth | Physical Medicine & Rehabilitation | 405 Silverside Rd Ste 104, Wilmington, DE 19809-1768 | 2015-04-01 |
| 1366860793 | Sriniketh Sundar | Anesthesiology | 405 Silverside Rd Ste 104, Wilmington, DE 19809-1768 | 2014-04-02 |
| 1679884977 | Rany Talal Abdallah | Anesthesiology | 405 Silverside Rd Ste 104, Wilmington, DE 19809-1768 | 2010-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881199693 | Raquel Ilanit Huerta | Counselor | 2100 Haven Rd, Apt C, Wilmington, DE 19809 | 2018-03-26 |
| 1548760960 | Phoenix Center for Health and Wellness LLC | Clinic/Center | 222 Philadelphia Pike Ste 12, Wilmington, DE 19809 | 2018-02-13 |
| 1659882850 | Mackenzie Chrisco | Physical Therapist | 606 Greenfield Pl, Wilmington, DE 19809 | 2017-10-16 |
| 1588173207 | Tracy Marie Washington | Social Worker | 221 Philadelphia Pike, Suite 4, Wilmington, DE 19809 | 2017-09-26 |
| 1053766907 | Jacqueline Galya | Occupational Therapist | 510 Duncan Road, Wilmington, DE 19809 | 2016-04-28 |
| 1205290566 | Kathleen Welsh | Behavioral Analyst | 210 Bellefonte, Wilmington, DE 19809 | 2016-04-12 |
| 1861820318 | A Better Chance for Our Children, Inc. | Clinic/Center | 1307 Philadelphia Pike, Wilmington, DE 19809 | 2013-10-19 |
| 1831457415 | Faye Catherine Dube | Counselor | 501 Silverside Road, Suite 50, Wilmington, DE 19809 | 2012-05-02 |
| 1972876977 | Iris Drane | Counselor | 314 Brandywine Blvd., Wilmington, DE 19809 | 2012-02-22 |
| 1821315110 | Mary Lauren Lewis Janusz | Occupational Therapist | 800 Carr Road, Wilmington, DE 19809 | 2010-04-26 |
| Find all providers in zip 19809 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508347048 | Premier Pain Solutions Pllc | Anesthesiology | 5710 Oleander Dr Ste 201, Wilmington, NC 28403-4722 | 2018-08-23 |
| 1598790099 | Peter M Witherell | Anesthesiology | 3411 Silverside Road, Suite 103 Rodney Building, Wilmington, DE 19810 | 2006-07-12 |
| 1366860793 | Sriniketh Sundar | Anesthesiology | 405 Silverside Rd Ste 104, Wilmington, DE 19809-1768 | 2014-04-02 |
| 1588907075 | Anesthesiology Pain Management Inc | Anesthesiology | 5307 Limestone Rd, Suite 103, Wilmington, DE 19808-1275 | 2013-04-03 |
| 1841429156 | Michael Alan Fishman | Anesthesiology | 3401 Brandywine Pkwy, Suite 202, Wilmington, DE 19803-1554 | 2009-07-08 |
| 1306993316 | Pramod K Yadhati | Anesthesiology | 4512 Kirkwood Hwy, Suite 200, Wilmington, DE 19808-5123 | 2007-01-04 |
| 1801943824 | Brandywine Pain Management P A | Anesthesiology | 4512 Kirkwood Hwy, Suite 200, Wilmington, DE 19808-5123 | 2007-01-04 |
| 1083761258 | Emmanuel Devotta | Anesthesiology | 4512 Kirkwood Hwy, Suite 200, Wilmington, DE 19808-5123 | 2007-01-03 |
| 1356355333 | Atlantic Pain Management, Pa | Anesthesiology | 1801 S 17th St, Wilmington, NC 28401-6443 | 2006-07-28 |
| 1265458285 | Patricia D Gibbons | Anesthesiology | 501 West 14th Street, Wilmington, DE 19801-1013 | 2006-07-14 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19809 |
Please comment or provide details below to improve the information on CENTER FOR INTERVENTIONAL PAIN & SPINE, LLC.
| 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.