MIDWEST SPINE INTERVENTIONALIST,LLC (NPI# 1407975493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407975493 |
| Entity Type | Organization |
| Organization Name | MIDWEST SPINE INTERVENTIONALIST,LLC |
| Other Organization Name | INTERVENTIONAL SPINE & PAIN CENTER |
| Practice Address |
52 Remick Blvd Springboro OH 45066-9168 |
| Mailing Address |
7036 Corporate Way Dayton OH 45459-4237 |
| Practice Telephone | 9376190724 |
| Practice Fax Number | 9376190400 |
| Mailing Telephone | 9372536448 |
| Mailing Fax Number | 9372535971 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2008-01-25 |
| Authorized Official Name | DR. VIVEKANAND MANOCHA (OWNER) |
| Authorized Official Telephone | 9376190724 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
35-087792 | OH | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| INTERVENTIONAL SPINE & PAIN CENTER | Doing Business As Name - Organization |
| Street Address |
52 REMICK BLVD |
| City | SPRINGBORO |
| State | OH |
| Zip Code | 45066-9168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063452654 | Jennifer D Williams | Family Medicine | 52 Remick Blvd, Springboro, OH 45066-9168 | 2006-06-08 |
| 1003373242 | Stapp Medical Group | Family Medicine | 52 Remick Blvd, Springboro, OH 45066-9168 | 2019-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609577 | Erica Lynn Ivey | Social Worker | 70 W. South St, Springboro, OH 45066 | 2020-11-02 |
| 1417515305 | Tapestry Springboro Senior Housing Management, LLC | Assisted Living Facility | 8683 Clearcreek Franklin Rd., Springboro, OH 45066 | 2019-06-05 |
| 1073081204 | Chelsea L Zastrow | Nurse Practitioner | 725 N. Main Street, Springboro, OH 45066 | 2018-11-06 |
| 1801378245 | Misty Woods | Nurse Practitioner | 540 W Central Ave., Springboro, OH 45066 | 2018-09-02 |
| 1154860815 | Infinity Chiropractic and Nutrition LLC | Chiropractor | 99 Edgebrooke Dr, Springboro, OH 45066 | 2017-02-14 |
| 1669898409 | Rebecca Miller | Physical Therapist | 195 Kesling Dr., Box 177, Springboro, OH 45066 | 2014-03-17 |
| 1124376157 | Motion Rehabilitation Center, LLC. | Occupational Therapist | 7917 Woodbridge Ct., Springboro, OH 45066 | 2012-08-23 |
| 1881827731 | Caroline Castleforte | Pediatrics | 8815 Glen Abbey Ct., Springboro, OH 45066 | 2009-08-26 |
| 1740453984 | Springboro Family Medicine Inc | Family Medicine | 5 Sycamore Creek Drive, Springboro, OH 45066 | 2008-04-09 |
| 1538389853 | Ohio Dental Professionals Workman, PC | Dentist | 780 North Main St, Springboro, OH 45066 | 2007-04-27 |
| Find all providers in zip 45066 | ||||
| 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 |
|---|---|---|---|---|
| 1992727200 | Vivekanand Manocha | Pain Medicine | 578 N Main St, Springboro, OH 45066-9552 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518379205 | Ips Asc, LLC | Pain Medicine | 1210 Gemini Pl Ste 301, Columbus, OH 43240-6112 | 2014-05-29 |
| 1407296650 | Dili Dhanani | Pain Medicine | 222 N 5th St Ste 203, Martins Ferry, OH 43935-1582 | 2013-07-02 |
| 1760829303 | Cleveland Medical Institute, LLC | Pain Medicine | 6025 Commerce Cir # 2, Willoughby, OH 44094-9668 | 2013-05-22 |
| 1861764250 | Ferguson Chiropractic Solutions LLC | Pain Medicine | 7058 Dayton Rd, Enon, OH 45323-1439 | 2012-02-01 |
| 1235469768 | Tri-state Pain Management Service Inc | Pain Medicine | 3020 Hospital Dr Ste 200, Batavia, OH 45103-1923 | 2010-01-06 |
| 1982727061 | Charlies I. Choi Md, Inc | Pain Medicine | 902 Westpoint Pkwy, Suite 330, Westlake, OH 44145-1534 | 2007-04-06 |
| 1891848776 | Professional Anesthesia Associates, Inc. | Pain Medicine | 605 S Trimble Rd Ste B, Mansfield, OH 44906-4112 | 2007-01-22 |
| 1629131222 | Warrensville Physical Medicine & Chiropractic Rehabilitation, LLC | Pain Medicine | 4919 Warrensville Center Rd, Warrensville Hts, OH 44128 | 2006-12-18 |
| 1194883926 | Delta Pain Consultants, Inc. | Pain Medicine | 4602 Sawmill Rd, Columbus, OH 43220-2247 | 2006-12-05 |
| 1154491611 | Tim Chowdhury | Pain Medicine | 7211 Sawmill Rd, Suite A, Dublin, OH 43016-5008 | 2006-11-09 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGBORO |
| Zip Code | 45066 |
Please comment or provide details below to improve the information on MIDWEST SPINE INTERVENTIONALIST,LLC.
| 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.