EAST SHORE MEDICAL & PAIN MANAGEMENT PC (NPI# 1265670996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265670996 |
| Entity Type | Organization |
| Organization Name | EAST SHORE MEDICAL & PAIN MANAGEMENT PC |
| Practice Address |
915 N Mountain Rd Suite C Harrisburg PA 17112-1793 |
| Practice Telephone | 7176525550 |
| Practice Fax Number | 7176522488 |
| Mailing Telephone | 7176525550 |
| Mailing Fax Number | 7176522488 |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2010-04-29 |
| Authorized Official Name | DR. MATTHEW S BOLAND (OWNER) |
| Authorized Official Telephone | 7176525550 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081N0008X |
Physical Medicine & Rehabilitation Specialization: Neuromuscular Medicine |
DC003322L | PA | Allopathic & Osteopathic Physicians |
| Street Address |
915 N MOUNTAIN RD SUITE C |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17112-1793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942373402 | Boland Chiropractic Inc. | Chiropractor | 915 N Mountain Rd, Suite C, Harrisburg, PA 17112-1793 | 2006-11-15 |
| 1639596794 | Medical Pain Management PC | General Practice | 915 N Mountain Rd, Suite C, Harrisburg, PA 17112-1793 | 2014-03-26 |
| 1205080611 | Boland Chiropractic Inc. | Chiropractor | 915 N Mountain Rd, Suite C, Harrisburg, PA 17112-1793 | 2008-11-12 |
| 1851540769 | Brian Mccarthy Epp | Chiropractor | 915 N Mountain Rd, Suite D, Harrisburg, PA 17112-1793 | 2008-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629549928 | Purposefully Soaring Counseling Services LLC | Counselor | 1537 Devonshire Rd, Suite G, Harrisburg, PA 17112 | 2018-12-12 |
| 1558839175 | Blue Diamond Homecare LLC | In Home Supportive Care | 2799 Monticello Ln, Harrisburg, PA 17112 | 2018-11-13 |
| 1326539057 | Erin Elizabeth Jones | Student in an Organized Health Care Education/Training Program | 121 Nyes Road Suite A, Hp09, Harrisburg, PA 17112 | 2018-05-29 |
| 1003307067 | Michael Timothy Partin | Family Medicine | 121 Nyes Road, Suite A, Hp09, Harrisburg, PA 17112 | 2018-05-25 |
| 1427576024 | Lauren Rittle | Specialist/Technologist | 4426 Greenridge Lane, Harrisburg, PA 17112 | 2017-09-03 |
| 1255856233 | Jan Eiko Ikeda | Physical Therapist | 5425 Jonestown Road, Suite 100, Harrisburg, PA 17112 | 2017-08-10 |
| 1417471574 | Luke Borden Berguson | Physical Therapist | 5425 Jonestown Rd Ste 100, Harrisburg, PA 17112 | 2017-07-31 |
| 1578931374 | Kelsey Janelle Wallen | Physical Therapist | 5425 Jonestown Road Ste. 100, Harrisburg, PA 17112 | 2015-09-10 |
| 1609276195 | Matthew Edward Conroy | Physical Therapist | 5425 Jonestown Road, Ste. 100, Outpatient Physical Therapy Network, LLC D/b/a Madden P, Harrisburg, PA 17112 | 2014-09-03 |
| 1144665399 | William Schuler Pierce | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1201 Saradana Road, Harrisburg, PA 17112 | 2013-05-01 |
| Find all providers in zip 17112 | ||||
| Taxonomy Code | 2081N0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Neuromuscular Medicine |
| A physician who specializes in neuromuscular medicine possesses specialized knowledge in the science, clinical evaluation and management of these disorders. This encompasses the knowledge of the pathology, diagnosis and treatment of these disorders at a level that is significantly beyond the training and knowledge expected of a general neurologist, child neurologist or physiatrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new] 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205015252 | Vadim Kipiller | Physical Medicine & Rehabilitation | 1110 Greenfield Ave, Pittsburgh, PA 15217-2931 | 2007-10-26 |
| 1881648095 | Amir Katz | Physical Medicine & Rehabilitation | 303 Plush Mill Rd, Wallingford, PA 19086-6022 | 2006-05-20 |
| 1144827999 | Lesley A Destefano | Physical Medicine & Rehabilitation | 211 N 12th St, Lehighton, PA 18235-1138 | 2020-10-05 |
| 1508417601 | George Ferris Neurohope Center, LLC | Physical Medicine & Rehabilitation | 5930 6th Ave Ste 1, Altoona, PA 16602-1115 | 2019-09-20 |
| 1780092494 | Valley Medical Center, Inc | Physical Medicine & Rehabilitation | 40 S Walnut St, Sharpsville, PA 16150-1269 | 2014-07-25 |
| City | HARRISBURG |
| Zip Code | 17112 |
Please comment or provide details below to improve the information on EAST SHORE MEDICAL & PAIN MANAGEMENT PC.
| 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.