ADVANCED SPINE AND PAIN CENTER, P.A. (NPI# 1255799375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255799375 |
| Entity Type | Organization |
| Organization Name | ADVANCED SPINE AND PAIN CENTER, P.A. |
| Practice Address |
1 Medical Dr Benson NC 27504-1177 |
| Mailing Address |
166 Springbrook Ave Suite 105 Clayton NC 27520-8520 |
| Practice Telephone | 9198941740 |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-05-17 |
| Authorized Official Name | RACHID IDRISSI (MEMBER OWNER) |
| Authorized Official Telephone | 9193598643 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
2007-00587 | NC | Allopathic & Osteopathic Physicians |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
2007-00587 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376902775 | Advanced Spine and Pain Center, P.a. | Pain Medicine | 518 Sandhurst Dr, Fayetteville, NC 28304-4426 | 2016-02-15 |
| 1003275603 | Advanced Spine and Pain Center, P.a. | Pain Medicine | 166 Springbrook Ave, Suite 105, Clayton, NC 27520-8520 | 2016-02-11 |
| 1639317332 | Advanced Spine and Pain Center, P.a. | Pain Medicine | 1 Medical Dr, Benson, NC 27504-1177 | 2009-02-03 |
| Street Address |
1 MEDICAL DR |
| City | BENSON |
| State | NC |
| Zip Code | 27504-1177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524750 | Nisha Parekh | Pharmacist | 1 Medical Dr, Benson, NC 27504-1177 | 2020-09-27 |
| 1003434648 | Charles Wayne Brooks Jr. | Pharmacist | 1 Medical Dr, Benson, NC 27504-1177 | 2020-07-09 |
| 1275151821 | Andrew Blum | Pharmacist | 1 Medical Dr, Benson, NC 27504-1177 | 2020-07-09 |
| 1932744497 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 1 Medical Dr, Benson, NC 27504-1177 | 2019-11-08 |
| 1700434099 | Ohio Valley Physicians Inc | Family Medicine | 1 Medical Dr, Benson, NC 27504-1177 | 2019-08-29 |
| 1740751353 | Nicole Orso | Nurse Practitioner | 1 Medical Dr, Benson, NC 27504-1177 | 2018-12-07 |
| 1942778998 | Anna Ross | Pharmacist | 1 Medical Dr, Benson, NC 27504-1177 | 2018-11-07 |
| 1124520440 | Grayson Colette Massey | Physician Assistant | 1 Medical Dr, Benson, NC 27504-1177 | 2018-03-02 |
| 1205206489 | Eastern Carolina Medical Center PC | Pharmacist | 1 Medical Dr, Benson, NC 27504-1177 | 2015-10-01 |
| 1891165205 | Rishit Patel | Pharmacist | 1 Medical Dr, Benson, NC 27504-1177 | 2015-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970780 | Tara Baran | Pharmacist | 3333 Nc-242, Benson, NC 27504 | 2020-07-23 |
| 1306357652 | Kingdom Family Care Home | Nursing Care | 11062 Hwy 50 North, Benson, NC 27504 | 2017-10-13 |
| 1346622818 | Meagan Maida Parker | Dentist | 12330 Highway 210, Suite #115, Benson, NC 27504 | 2015-06-22 |
| 1437598067 | Dongmin Lee | Dentist | 12330 Nc-210, 115, Benson, NC 27504 | 2013-06-17 |
| 1770871014 | Mark Damian Greenwell | Pharmacist | 13440 Nc 210 Highway, Benson, NC 27504 | 2011-07-20 |
| 1346403151 | Liberty Healthcare Group LLC | Assisted Living Facility | 2315 Hwy 242 N, Benson, NC 27504 | 2008-07-02 |
| 1063580447 | Martin Davis Lee | Chiropractor | 106 South Elm Street, Benson, NC 27504 | 2006-12-01 |
| 1548348824 | Riccobene-mcgees | Dentist | 12330 Highway 210, Suite 115, Benson, NC 27504 | 2006-11-02 |
| 1225113277 | Monica Weathers | Speech-Language Pathologist | 102 North Market Street, Suite Ff, Benson, NC 27504 | 2006-10-26 |
| 1912081944 | Carl David Horkavy | Chiropractor | 202 Nilee St, Benson Chiropractic Center PC, Benson, NC 27504 | 2006-10-25 |
| Find all providers in zip 27504 | ||||
| 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 |
|---|---|---|---|---|
| 1659836591 | Advanced Regenerative Care, Pllc | Physical Medicine & Rehabilitation | 504 C Red Banks Road, Greenville, NC 27858 | 2019-02-05 |
| 1992160659 | Carolina Sports and Spine | Physical Medicine & Rehabilitation | 1700 Forest Hills Rd W, Wilson, NC 27893-3411 | 2015-12-23 |
| 1811399850 | Mitchell Bloom | Physical Medicine & Rehabilitation | Oak Branch Drive, Suite 7e, Greensboro, NC 27407-2380 | 2014-09-22 |
| 1881619005 | Fan Xi | Physical Medicine & Rehabilitation | 2800 Ashton Drive, Suite 100, Wilmington, NC 28412-2486 | 2006-07-12 |
| 1093753329 | Edward Anthony Overton | Physical Medicine & Rehabilitation | 10310 Mallard Creek Rd, Ste 101-c, Charlotte, NC 28262-9771 | 2006-06-02 |
| 1487632881 | Mark Allen Goodson | Physical Medicine & Rehabilitation | 114 Welton Way Ste A, Mooresville, NC 28117-9251 | 2006-01-05 |
| 1083696892 | Ronald Vandernoord | Physical Medicine & Rehabilitation | 710 Park Center Dr Ste 300, Matthews, NC 28105-5082 | 2005-11-17 |
| 1922095520 | Angelo Tellis | Physical Medicine & Rehabilitation | 2111 Neuse Blvd. Suite J, New Bern, NC 28560-4317 | 2005-09-29 |
| 1578569166 | Thomas Francis Florian | Physical Medicine & Rehabilitation | 4901 Dawn Dr, Suite 3300, Lumberton, NC 28360-8287 | 2005-06-28 |
| 1619524097 | Novant Medical Group Inc | Physical Medicine & Rehabilitation | 3515 W Market St Ste 210, Greensboro, NC 27403-4442 | 2019-08-21 |
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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.