INTERVENTIONAL SPINE AND PAIN MANAGEMENT, PC (NPI# 1275633372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275633372 |
| Entity Type | Organization |
| Organization Name | INTERVENTIONAL SPINE AND PAIN MANAGEMENT, PC |
| Practice Address |
5303 Adams St. Suite C Covington GA 30014 |
| Practice Telephone | 6787298590 |
| Practice Fax Number | 6787298595 |
| Mailing Telephone | 6787298590 |
| Mailing Fax Number | 6787298595 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2014-01-02 |
| Authorized Official Name | ROBIN J FOWLER (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7709299033 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| Street Address |
5303 ADAMS ST. SUITE C |
| City | COVINGTON |
| State | GA |
| Zip Code | 30014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495635 | Cathy Cassandra Collins | Pharmacist | 3639 Hwy 278, Covington, GA 30014 | 2020-10-22 |
| 1154933877 | Atl Optical LLC | Optometrist | 3135 Highway 278 Ne, Covington, GA 30014 | 2020-08-24 |
| 1932737046 | Samagas House Org | Adult Companion | 1500 Mountain View Cirlcle, Conyers, GA 30014 | 2020-04-01 |
| 1356834360 | Covington Dental Care | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014 | 2018-06-13 |
| 1487190005 | New Avenues Assessment and Counseling Center LLC | Counselor | 3192 Spring Street, Covington, NEWTON 30014 | 2017-01-07 |
| 1275903973 | Jennifer Carol Bridges | Registered Nurse | 320 Malcom Lane, Covington, GA 30014 | 2015-10-07 |
| 1134598501 | Shelby Boggus King | Physician Assistant | 4181 Hospital Drive Ne, Suite 204, Covington, GA 30014 | 2015-09-16 |
| 1366829814 | Wendy Pazdur | Counselor | 5109 Hwy 278 East, Suite D, Covington, GA 30014 | 2015-05-05 |
| 1306235445 | Covington Center for Family Dentistry | Dentist | 10373 Industrial Blvd, Covington, GA 30014 | 2015-01-13 |
| 1992103428 | Modern Cosmetic Dental Care, LLC | Clinic/Center | 1750 Highway 11, Suite B, Covington, GA 30014 | 2014-12-16 |
| Find all providers in zip 30014 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 |
|---|---|---|---|---|
| 1255600474 | Barry Aubrey Shelby | Anesthesiology | 19164 Highway 40, Covington, LA 70435-9369 | 2011-12-16 |
| 1366584286 | East Atlanta Gastroenterology Associates, PC | Anesthesiology | 7229 Wheat St Ne, Covington, GA 30014-1566 | 2007-02-14 |
| 1780735514 | Thomas Louis Periou | Anesthesiology | 198 Belle Terre Blvd, Covington, LA 70433-4758 | 2007-01-16 |
| 1568488492 | John Michael Warner | Anesthesiology | 5216 Hospital Drive, Dept of Anesthesia, Covington, GA 30014 | 2006-07-14 |
| 1831142652 | David Baldone | Anesthesiology | 4407 Highway 190 East Service Rd, Covington, LA 70433-4957 | 2006-05-19 |
| 1023012606 | Helen U. Lim | Anesthesiology | 17700 Se 272nd St, Ste 175, Covington, WA 98042-4951 | 2005-06-10 |
| 1669475190 | Total Anesthesia Care Stph, LLC | Anesthesiology | 1202 S Tyler St, Covington, LA 70433-2330 | 2005-05-30 |
| 1710450853 | East Atlanta Gastroenterology Associates, PC | Anesthesiology | 7229 Wheat St Ne, Covington, GA 30014-1566 | 2019-01-10 |
| 1801282827 | Brendan Atkinson | Anesthesiology | 5126 Hospital Dr Ne, Covington, GA 30014-2566 | 2015-04-07 |
| 1679822878 | Ips Consulting Services, LLC | Anesthesiology | 7229 Wheat St Ne, Covington, GA 30014-1566 | 2012-09-04 |
| Find all providers in COVINGTON | ||||
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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.