SOUTHBRIDGE INTERVENTIONAL PAIN,INC (NPI# 1396043071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396043071 |
| Entity Type | Organization |
| Organization Name | SOUTHBRIDGE INTERVENTIONAL PAIN,INC |
| Practice Address |
48 Main St Sturbridge MA 01566-1284 |
| Mailing Address |
Po Box 426 Southbridge MA 01550-0426 |
| Practice Telephone | 5083479111 |
| Mailing Telephone | 5083479111 |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2016-06-28 |
| Authorized Official Name | DR. ASHRAF FARID (OWNER) |
| Authorized Official Telephone | 5083479111 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
212790 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
48 MAIN ST |
| City | STURBRIDGE |
| State | MA |
| Zip Code | 01566-1284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689826422 | Susan Florence Mix | Massage Therapist | 48 Main St, Sturbridge, MA 01566-1284 | 2008-10-10 |
| 1245342971 | Catherine Jean Magdis | Physical Therapist | 48 Main St, Sturbridge, MA 01566-1284 | 2006-08-31 |
| 1326054677 | David Houle | Physical Therapist | 48 Main St, Sturbridge, MA 01566-1284 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609368919 | Martha Charley | Nurse Practitioner | Southbridge Pain Clinic, 48 Main Street Suite 6, Sturbridge, MA 01566 | 2018-06-01 |
| 1013407097 | Jolynn Klier | Psychologist | 1 Library Ln N, Sturbridge, MA 01566 | 2018-05-15 |
| 1841703295 | Brandon A Campo | Behavioral Analyst | 54 Main St Unit 0, Sturbridge, MA 01566 | 2017-11-08 |
| 1023407145 | Village Family Chiropractic, LLC | Chiropractor | 58 Main Street, Sturbridge, MA 01566 | 2015-01-13 |
| 1013330166 | Debra Kizilcan | Massage Therapist | 426 Main Street C/o Alternatives for Health, Sturbridge, MA 01566 | 2014-01-27 |
| 1124453659 | Gennady Gelman | Family Medicine | 198 Charlton Rd, Sturbridge, MA 01566 | 2013-09-03 |
| 1710123492 | Heritage Home Health Care, LLC | Home Health | 559 Main Street, Suite 103, Sturbridge, MA 01566 | 2008-12-30 |
| 1225176373 | William Brian Digregorio | Chiropractor | 64 Main St Rt 131, Sturbridge, MA 01566 | 2007-02-01 |
| 1437247889 | Larry A Johnson Dds PC | Dentist | 69 Hall Road, Sturbridge, MA 01566 | 2006-10-11 |
| 1639281090 | Mohamed Hashi Abib | Family Medicine | 128 Main St Ste 4, Sturbridge, MA 01566 | 2006-08-31 |
| Find all providers in zip 01566 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 |
|---|---|---|---|---|
| 1386102614 | Premier Pain Management Pllc | Anesthesiology | 33 Electric Ave Ste 102, Fitchburg, MA 01420-7954 | 2019-03-05 |
| 1295969103 | Karen Munkacy | Anesthesiology | 116 Chestnut Hill Rd, Chestnut Hill, MA 02467-1310 | 2009-05-06 |
| 1073756441 | Prashant Kumar | Anesthesiology | 102 Shore Drive, Ste 502, Worcester, MA 01605-3154 | 2009-04-14 |
| 1568657120 | Han L Chiu | Anesthesiology | 80 Waltham Street, D-22, Norwell, MA 02061 | 2007-09-07 |
| 1366576191 | New England Pain Associates, P.C. | Anesthesiology | 48 Elm Street, Worcester, MA 01609-2541 | 2007-03-15 |
| 1619003092 | Sarah Louise Blake | Anesthesiology | 3 Woodland Rd Ste 318, Stoneham, MA 02180-1713 | 2007-02-27 |
| 1063579076 | William Emerson Dworet | Anesthesiology | 21 Brewster Cross Rd Unit C, Orleans, MA 02653-3339 | 2007-01-02 |
| 1235297250 | Bijan Nasseri Niaki | Anesthesiology | 91 Washington Street, 3rd Floor Ste 303, Taunton, MA 02780 | 2006-12-04 |
| 1073681508 | Galina Davidyuk | Anesthesiology | 75 Francis Str, Bwh Anesthesia Department, Boston, MA 02115 | 2006-12-01 |
| 1932133691 | Hariharan V Sundram | Anesthesiology | 205 Homer St, Newton, MA 02459-1420 | 2006-07-10 |
| Find all providers with the same taxonomy | ||||
| City | STURBRIDGE |
| Zip Code | 01566 |
Please comment or provide details below to improve the information on SOUTHBRIDGE INTERVENTIONAL PAIN,INC.
| 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.