GRAND ISLAND PAIN RELIEF CENTER PC


Address: 403 Lexington Cir, Grand Island, NE 68803-9728
Phone: 3086753222

GRAND ISLAND PAIN RELIEF CENTER PC (NPI# 1346709383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346709383
Entity Type Organization
Organization Name GRAND ISLAND PAIN RELIEF CENTER PC
Practice Address 403 Lexington Cir
Grand Island
NE 68803-9728
Practice Telephone 3086753222
Practice Fax Number 3086753234
Mailing Telephone 3086753222
Mailing Fax Number 3086753234
Enumeration Date 2019-03-19
Last Update Date 2019-11-07
Authorized Official Name PRAVARDHAN RAJASHEKAR BIRTHI (OWNER/PRESIDENT)
Authorized Official Telephone 3086753222
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
Allopathic & Osteopathic Physicians
Y 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
301 S Way Ave, Sutton, NE 689792134 4027730115 4027730119

Office Location

Street Address 403 LEXINGTON CIR
City GRAND ISLAND
State NE
Zip Code 68803-9728

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396863882 Joel Orosa Paraiso Psychiatry & Neurology 403 Lexington Cir, Grand Island, NE 68803-9728 2007-03-26
1497396923 Susan M Briseno Nurse Practitioner 403 Lexington Cir, Grand Island, NE 68803-9728 2019-10-07
1447819727 Susan B Kryzsko Nurse Practitioner 403 Lexington Cir, Grand Island, NE 68803-9728 2019-06-10
1013161082 Pravardhan Rajashekar Birthi Pain Medicine 403 Lexington Cir, Grand Island, NE 68803-9728 2008-11-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467053884 Christopher Patrin Counselor 1811 West 2nd Street, Suite 450, Grand Island, NE 68803 2020-11-03
1942848593 Specialized Outpatient Services Counselor 1811 West 2nd Street Suite 450, Grand Island, NE 68803 2019-12-13
1558910604 Grand Island Regional Medical Center General Acute Care Hospital 3533 Prairieview Street, Grand Island, NE 68803 2019-09-10
1992225817 Destiny Mostek Dietitian, Registered 2201 N. Broadwell Ave, Grand Island, NE 68803 2017-06-21
1184150591 Brandy Rae Bird Registered Nurse Mosaic Msu 2905 West 5th Street, Grand Island, NE 68803 2017-05-04
1831633171 Karla Jean Sextro Counselor 2112 W. Faidley Ave, Grand Island, NE 68803 2016-12-06
1689062895 Good Hands Clinic PC Specialist 524 South Webb Rd, Suite 1, Grand Island, NE 68803 2014-12-23
1346664554 Lindsey M Modlin Dental Hygienist 4234 New York Ave, Grandi Island, NE 68803 2014-02-07
1568711711 Danessa Marie Kenney Counselor 908 N. Howard Ave. Suite 107, Nebraska Children's Home Society, Grand Island, NE 68803 2012-09-04
1649528563 Nicole Morris Physical Therapist 2116 Faidley Ave, Grand Island, NE 68803 2012-08-27
Find all providers in zip 68803

Taxonomy Information

Taxonomy Code 2081P2900X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Pain Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144741406 Multicare Medical Group PC Physical Medicine & Rehabilitation 701 Pinnacle Dr Ste 105, Papillion, NE 68046-6228 2017-06-27
1184153439 Papillion Physical Medicine, P.C. Physical Medicine & Rehabilitation 741 Pinnacle Dr, Papillion, NE 68046-6269 2017-06-09
1639114184 Robert J Rentfro IIi Physical Medicine & Rehabilitation 6900 A St Ste 100, Lincoln, NE 68510-4120 2006-06-18
1669613667 Kurt V Gold M.d. P.C. Physical Medicine & Rehabilitation 7919 Wakeley Plz, Omaha, NE 68114-3677 2009-03-20
1609068824 Jaimie Ann Clodfelter Physical Medicine & Rehabilitation 3911 Avenue B, Suite 2300, Scottsbluff, NE 69361-4617 2007-08-11
1760672836 Richard 'gregg' Wilroy Jr. Physical Medicine & Rehabilitation 3911 Avenue B, Suite 2300, Scottsbluff, NE 69361-0617 2007-07-25
1790788172 James P Devney Physical Medicine & Rehabilitation 9850 Nicholas St, Ste 310, Omaha, NE 68114-2186 2005-05-31

Competitor

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City GRAND ISLAND
Zip Code 68803

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Dataset Information

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.

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