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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | MD424898 | Other Service Providers |
Street Address |
391 EAST BROWN STREET |
City | EAST STROUDSBURG |
State | PA |
Zip Code | 18301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346670239 | Premier Diagnostic Services, PC | Specialist | 391 East Brown Street, East Stroudsburg, PA 18301 | 2013-11-14 |
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 Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
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. |
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 |
City | EAST STROUDSBURG |
Zip Code | 18301 |
Please comment or provide details below to improve the information on PREMIER PAIN SPINE AND SPORTS MEDICINE PC.
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.