PREMIER PAIN SPINE AND SPORTS MEDICINE PC


Address: 391 East Brown Street, East Stroudsburg, PA 18301
Phone: 5702419224

PREMIER PAIN SPINE AND SPORTS MEDICINE PC (NPI# 1457789117) 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) 1457789117
Entity Type Organization
Organization Name PREMIER PAIN SPINE AND SPORTS MEDICINE PC
Practice Address 391 East Brown Street
East Stroudsburg
PA 18301
Practice Telephone 5702419224
Mailing Telephone 5702419224
Enumeration Date 2013-10-16
Last Update Date 2014-05-02
Authorized Official Name MIKHAIL ARTAMONOV (PRESIDENT)
Authorized Official Telephone 5708729800
Authorized Official Credential M.D
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist MD424898 Other Service Providers

Office Location

Street Address 391 EAST BROWN STREET
City EAST STROUDSBURG
State PA
Zip Code 18301

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346670239 Premier Diagnostic Services, PC Specialist 391 East Brown Street, East Stroudsburg, PA 18301 2013-11-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801405030 Gabrielle Nicole Hahn Specialist/Technologist 213 Smith Street, East Stroudsburg, PA 18301 2020-07-23
1730601246 Eliezer Candelario Case Manager/Care Coordinator 255 Abeel Rd, East Stroudsburg, PA 18301 2017-07-17
1154843084 Oludamilola Olatunde Oke Homemaker 170 North Courtland Street, East Stroudsburg, PA 18301 2017-07-12
1205369451 My Lab Choice, Inc Clinical Medical Laboratory 391 East Brown Street, Lower Level, East Stroudsburg, PA 18301 2017-04-05
1538610498 Northland Hearing Centers, Inc. Hearing Aid Equipment 400 Plaza Ct Ste B, East Stroudsburg, PA 18301 2016-10-17
1962863423 Ryan Mackiewicz Student in an Organized Health Care Education/Training Program 68 Brown St, East Stroudsburg, PA 18301 2016-03-11
1437524139 Derek Oliver Massage Therapist 146 Azalea Drive, East Stroudsburg, PA 18301 2015-12-07
1093182529 Bathsheba Etheridge Contractor 128 Pasquin Drive, East Stroudsburg, PA 18301 2015-09-01
1538581533 Care Plus Oxygen, Inc. Durable Medical Equipment & Medical Supplies 114 Columbia Dr Ste 10, East Stroudsburg, PA 18301 2014-01-09
1437586484 Faiza Qureshi Physician Assistant 5195 Seven Bridges Road, East Stroudsburg, PA 18301 2013-10-07
Find all providers in zip 18301

Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922418540 Esther Mortimer Specialist 545 Marco Way, East Stroudsburg, PA 18302-6693 2014-05-05
1598918674 Barbara Lynn Vannortwick Specialist 303 Sleepy Hollow Estates, East Stroudsburg, PA 18302 2008-11-03
1073707709 Urology Associates of The Poconos,inc Specialist 422 Normal St, Suite B, East Stroudsburg, PA 18301-8260 2007-09-06
1760527790 M. Azhar Chaudhry M.d. Inc. Specialist 228 Independence Road, East Stroudsburg, PA 18301-9435 2007-02-20
1790880003 Laszlo Szollas Specialist 600 Plaza Ct C, East Stroudsburg, PA 18301 2006-09-13
1952365595 Ne Rehab & Pain Management Center Specialist 230 Independence Rd, East Stroudsburg, PA 18301-9447 2006-04-12
1922061787 Matt M Vegari Specialist 232 Independence Rd, East Stroudsburg, PA 18301 2006-04-11
1649279241 Intensity Modulated Radiation Therapy Associates P C Specialist 231 E Brown St, East Stroudsburg, PA 18301-3005 2005-07-18
1134126840 Gordon W Fried Specialist 200 Plaza Ct, Suite C, East Stroudsburg, PA 18301-8259 2005-07-07
1437155330 Gregory J Menio Specialist 600 Plaza Ct, C, East Stroudsburg, PA 18301 2005-06-24
Find all providers in EAST STROUDSBURG

Competitor

Search similar providers

City EAST STROUDSBURG
Zip Code 18301

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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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