ARTISAN SPORTS MEDICINE PC (NPI# 1396868402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396868402 |
| Entity Type | Organization |
| Organization Name | ARTISAN SPORTS MEDICINE PC |
| Practice Address |
62 East 88th Street Lower Lobby New York NY 10128 |
| Mailing Address |
Po Box 706 New York NY 10028 |
| Practice Telephone | 2124278136 |
| Practice Fax Number | 2124270200 |
| Mailing Telephone | 2124278136 |
| Mailing Fax Number | 2124270200 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. THOMAS M LA RA (PRACTICE MANAGER) |
| Authorized Official Telephone | 2124278136 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| X | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
62 EAST 88TH STREET LOWER LOBBY |
| City | NEW YORK |
| State | NY |
| Zip Code | 10128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285687343 | Caitlin Fiss Goldsmith | Obstetrics & Gynecology | 62 East 88th Street, 2nd Floor, New York, NY 10128-0724 | 2006-05-18 |
| 1972802502 | Denis Goulburn Clarke | Physician Assistant | 62 East 88th Street, New York, NY 10128 | 2011-03-22 |
| 1306938378 | Robin Nussbaum Phillips | Obstetrics & Gynecology | 62 East 88th Street, Suite 201, New York, NY 10128 | 2006-09-28 |
| 1992803522 | Catherine Goodstein | Obstetrics & Gynecology | 62 East 88th Street, 2nd Floor, New York, NY 10128 | 2006-09-20 |
| 1689786105 | Laura Schiller | Obstetrics & Gynecology | 62 East 88th Street, 2nd Floor, New York, NY 10128 | 2006-08-31 |
| 1194758490 | East Side Medical Radiology Pllc | Radiology | 62 East 88th Street, Lower Level, New York, NY 10128 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671314 | Kathleen Forhan | Student in an Organized Health Care Education/Training Program | 116 East 92nd Street, Bsmnt, New York, NY 10128 | 2020-02-18 |
| 1811539638 | Baron Shieh | Physical Therapist | 1844 Second Ave, New York, NY 10128 | 2019-10-14 |
| 1720641335 | Michael Gary Rothenberg | Psychologist | 5 East 94th Street, New York, NY 10128 | 2019-04-18 |
| 1275003865 | Desiree Caban | Psychoanalyst | 1449 Lexington Ave 4b1 East, New York, NY 10128 | 2018-11-27 |
| 1326514191 | Yjk Anesthesia LLC | Anesthesiology | 403 East 91st, New York, NY 10128 | 2018-10-19 |
| 1619454568 | Arthur Jenkins Md LLC | Neurological Surgery | 65 Eat 96th Street, Suite 1b, New York, NY 10128 | 2018-07-24 |
| 1285120832 | Eric Axel Gerdner | Social Worker | 309 E 94th St Fl 4, New York, NY 10128 | 2018-07-06 |
| 1003317694 | Max I Bolotin | Psychologist | 49 East 96 Street Apt 12d, New York, NY 10128 | 2018-02-28 |
| 1518471465 | Elyse Palumbo | Social Worker | 305 East 92nd Street, New York, NY 10128 | 2017-11-29 |
| 1720505282 | Arlene Kramer Richards | Psychologist | 200 East89 Street, 45bc, New York, NY 10128 | 2017-08-25 |
| Find all providers in zip 10128 | ||||
| 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 |
|---|---|---|---|---|
| 1861918781 | New York Pain Consultants LLC | Pain Medicine | 115 E 57th St Ste 610, New York, NY 10022-2129 | 2017-08-22 |
| 1437410024 | Vasilios Kountis | Pain Medicine | 1317 3rd Ave Fl 7, New York, NY 10021 | 2012-05-31 |
| 1598065088 | Gramercy Interventional Pain Medicine Pllc | Pain Medicine | 67 Irving Pl Fl 10, New York, NY 10003-2252 | 2010-10-29 |
| 1629218938 | Robert P. Pitera M.d., P.C. | Pain Medicine | 118 E 57th St, Third Floor, New York, NY 10022-2663 | 2009-02-26 |
| 1518117902 | Muhammad Hamza Habib | Pain Medicine | 601 West 168th Street, 3rd Floor, Suite # 37-38, Columbia Univ Med Ctr/ Palliative Medicine, New York, NY 10032 | 2008-09-23 |
| 1417172164 | Park East Sports Medicine & Rehabilitation PC | Pain Medicine | 888 Park Ave, New York, NY 10075 | 2007-04-16 |
| 1184670887 | Larry Lerner | Pain Medicine | Bimc - Dept of Pain Medicine, 10 Union Square East, New York, NY 10003 | 2006-05-25 |
| 1932153228 | Sanjay Bakshi | Pain Medicine | 485 Madison Ave, New York, NY 10022-5803 | 2006-05-20 |
| 1013998996 | Nilufer Guleyupoglu | Pain Medicine | 369 Lexington Ave, Suite 800, New York, NY 10017-6506 | 2005-11-08 |
| 1912449513 | New York Pain Consultants, LLC | Pain Medicine | 57 W 57th St, 15th Floor, New York, NY 10019-2802 | 2016-11-14 |
| Find all providers in NEW YORK | ||||
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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.