HUNTLEY PAIN SPECIALISTS A MEDICAL CORPORATION (NPI# 1255346979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255346979 |
| Entity Type | Organization |
| Organization Name | HUNTLEY PAIN SPECIALISTS A MEDICAL CORPORATION |
| Practice Address |
7525 Metropolitan Dr Ste 302 San Diego CA 92108-4411 |
| Mailing Address |
7525 Metropolitan Dr Suite 302 San Diego CA 92108-4411 |
| Practice Telephone | 6193251161 |
| Practice Fax Number | 6193251717 |
| Mailing Telephone | 6193251161 |
| Mailing Fax Number | 6193251717 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2012-05-23 |
| Authorized Official Name | MICHAEL HUNTLEY (PRESIDENT) |
| Authorized Official Telephone | 6193251161 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
G70722 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
7525 METROPOLITAN DR STE 302 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-4411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518955574 | Traci M Morgan | Physician Assistant | 7525 Metropolitan Dr, Suite 302, San Diego, CA 92108-4411 | 2005-10-12 |
| 1124577952 | Courtney Farrar | Physical Therapist | 7525 Metropolitan Dr, Suite 302, San Diego, CA 92108-4411 | 2016-09-21 |
| 1427426386 | Heather Grace Moore | Nurse Practitioner | 7525 Metropolitan Dr, Suite 302, San Diego, CA 92108 | 2015-09-09 |
| 1255710901 | Daniel E Burk | Physician Assistant | 7525 Metropolitan Dr, 302, San Diego, CA 92108-4411 | 2015-05-28 |
| 1326425661 | Algos Inc., A Medical Corporation | Psychologist | 7525 Metropolitan Dr, Suite 302, San Diego, CA 92108-4411 | 2015-05-06 |
| 1043605777 | Huntley Pain Specialists | Physician Assistant | 7525 Metropolitan Dr, Ste 302, San Diego, CA 92108-4411 | 2015-03-31 |
| 1750588786 | Stephanie Pawlikowski-platt | Physician Assistant | 7525 Metropolitan Dr, Suite 302, San Diego, CA 92108-4411 | 2007-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| 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 |
|---|---|---|---|---|
| 1154717015 | Stewart Alan Lewis | Anesthesiology | 1281 9th Ave Unit 3009, San Diego, CA 92101-4676 | 2015-04-07 |
| 1093819419 | Alicja Steiner Md A Professional Medical Corporation | Anesthesiology | 2100 5th Ave # 200, San Diego, CA 92101-2102 | 2006-09-08 |
| 1871517110 | Paul Euin Kim | Anesthesiology | 3549 Camino Del Rio South, Ste A, San Diego, CA 92108-3549 | 2006-07-27 |
| 1457388225 | Kevin S Smith | Anesthesiology | 7525 Linda Vista Rd Ste C, San Diego, CA 92111-5344 | 2006-06-27 |
| 1093281438 | Relieve Pain Center, Inc. | Anesthesiology | 3969 4th Ave Ste 208, San Diego, CA 92103-3165 | 2018-10-23 |
| 1538641857 | Relive You Center for Advanced Pain Management | Anesthesiology | 8901 Activity Rd Ste 104, San Diego, CA 92126 | 2018-09-04 |
| 1033614706 | Ellison Medical Group Vein Treatment Center | Anesthesiology | 5330 Carroll Canyon Rd Ste 140, San Diego, CA 92121-3758 | 2018-03-26 |
| 1013422633 | Stewart A Lewis Do Rph Inc | Anesthesiology | 1281 9th Ave Unit 3009, San Diego, CA 92101-4676 | 2017-12-05 |
| 1811313067 | Pain Solutions Inc | Anesthesiology | 6719 Alvarado Rd, San Diego, CA 92120-5270 | 2014-03-12 |
| 1861832735 | Douglas Dobecki, Medical Doctor, Incorporated | Anesthesiology | 7625 Mesa College Dr, Suite 315a, San Diego, CA 92111-5343 | 2013-06-25 |
| Find all providers in SAN DIEGO | ||||
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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.