PAIN & SPINE SPECIALISTS OF CONNECTICUT, LLC (NPI# 1386256378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386256378 |
| Entity Type | Organization |
| Organization Name | PAIN & SPINE SPECIALISTS OF CONNECTICUT, LLC |
| Practice Address |
75 Kings Highway Cutoff Ste 3a Fairfield CT 06824-5340 |
| Mailing Address |
11350 Mccormick Rd Executive Plaza 1, Suite 501 Hunt Valley MD 21031 |
| Practice Telephone | 2037437264 |
| Practice Fax Number | 2037923920 |
| Mailing Telephone | 4103291071 |
| Mailing Fax Number | 4103291054 |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-20 |
| Authorized Official Name | DR. RAE J DAVIS (OWNER) |
| Authorized Official Telephone | 7039148000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528535119 | Pain & Spine Specialists of Connecticut, LLC | Non-Pharmacy Dispensing Site | 5520 Park Ave Ste Wp2-200, Trumbull, CT 06611-3463 | 2018-11-01 |
| 1235606880 | Pain & Spine Specialists of Connecticut, LLC | Non-Pharmacy Dispensing Site | 1320 W Main St Bldg 2, Waterbury, CT 06708-3131 | 2018-10-31 |
| 1174826598 | Pain & Spine Specialists of Connecticut, LLC | Specialist | 131 Kent Rd Bldg A, New Milford, CT 06776-3485 | 2010-12-07 |
| 1467588020 | Pain & Spine Specialists of Connecticut, LLC | Pain Medicine | 67 Sandpit Rd, Suite 308, Danbury, CT 06810-4032 | 2007-02-26 |
| 1891262481 | Pain & Spine Specialists of Connecticut, LLC | Non-Pharmacy Dispensing Site | 67 Sand Pit Rd Ste 308, Danbury, CT 06810-4032 | 2018-11-01 |
| 1700353398 | Pain & Spine Specialists of Connecticut, LLC | Non-Pharmacy Dispensing Site | 11 South Rd Ste 250, Farmington, CT 06032-2484 | 2018-11-01 |
| 1346717931 | Pain & Spine Specialists of Connecticut, LLC | Non-Pharmacy Dispensing Site | 131 Kent Rd Bldg A, New Milford, CT 06776-3485 | 2018-11-01 |
| 1467755900 | Pain & Spine Specialists of Connecticut, LLC | Specialist | 1320 W Main St, Bldg 2, Waterbury, CT 06708-3119 | 2010-12-06 |
| Street Address |
75 KINGS HIGHWAY CUTOFF STE 3A |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824-5340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819826 | Lauren J Cotton | Student in an Organized Health Care Education/Training Program | 1073 North Benson Road, Fairfield, CT 06824 | 2020-07-28 |
| 1831652064 | Seagull Counseling & Therapy LLC | Social Worker | 35 Nutmeg Lane, Fairfield, CT 06824 | 2019-04-14 |
| 1871018390 | Richard Matthew Carraway | Nurse Practitioner | 117 Carlynn Drive, Fairfield, CT 06824 | 2017-08-05 |
| 1811426695 | Fairfield County Health & Wellness Services II LLC | Psychiatry & Neurology | 325 Reef Road/suite 109, Fairfield, CT 06824 | 2017-06-06 |
| 1487198214 | Evamarie Koehler Elinskas | Speech-Language Pathologist | 50 Potters Lane, Fairfield, CT 06824 | 2016-12-13 |
| 1447794441 | Nicholas C Kopazna | Counselor | 433 Meadow St, Fairfield, CT 06824 | 2016-12-09 |
| 1245686997 | Tyler Wayne Vitzthum | Chiropractor | 1995 Post Rd., Fairfield, CT 06824 | 2016-05-12 |
| 1184087660 | Beth Segaloff | Social Worker | 191 Catherine Terrace, Fairfield, CT 06824 | 2016-04-01 |
| 1518342781 | April Vanbergen | Counselor | 1275 Post Rd., Suite A5, Fairfield, CT 06824 | 2015-07-29 |
| 1982089181 | Mary Cilio | Social Worker | 173 Samp Mortar Drive, Fairfield, CT 06824 | 2015-07-29 |
| Find all providers in zip 06824 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528230380 | Tri-state Pain Management Service Inc | Pain Medicine | 3050 Mack Rd, Suite 200, Fairfield, OH 45014-5379 | 2008-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770109910 | Rejuvenate Joint and Spine Pllc | Pain Medicine | 75 Tresser Blvd Unit 429, Stamford, CT 06901-3360 | 2020-06-23 |
| 1275804189 | Robinson Pa, LLC | Pain Medicine | 85 Barnes Rd Ste 201, Wallingford, CT 06492-1832 | 2012-01-24 |
| 1245472604 | Connecticut Regional Pain Specialists,llc | Pain Medicine | 2447 Whitney Ave Ste 2b, Hamden, CT 06518-3211 | 2009-04-01 |
| 1467588020 | Pain & Spine Specialists of Connecticut, LLC | Pain Medicine | 67 Sandpit Rd, Suite 308, Danbury, CT 06810-4032 | 2007-02-26 |
| 1548322878 | Joe Lee | Pain Medicine | 80 Brewster Rd, Ct Spine and Pain, Bristol, CT 06010 | 2006-12-14 |
| 1235163536 | Eugene Lucier | Pain Medicine | 142 Hazard Ave, Enfield, CT 06082-4520 | 2006-07-10 |
| 1841257185 | Eric D Grahling | Pain Medicine | 440 New Britain Ave, Comprehensive Pain Management of Central Ct, LLC, Plainville, CT 06062 | 2006-04-28 |
| 1881674398 | Yasser Shaheen | Pain Medicine | 677 S Main St, Cheshire, CT 06410-3158 | 2006-01-19 |
| 1477197671 | Spine Center of Ct, Pllc | Pain Medicine | 67 Sand Pit Rd Ste 308, Danbury, CT 06810-4032 | 2019-10-30 |
| 1346706009 | Rnp Regenerative Medicine PC | Pain Medicine | 55 South Rd Ste 120, Farmington, CT 06032-2022 | 2019-02-18 |
| Find all providers with the same taxonomy | ||||
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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.