PAIN & SPINE SPECIALISTS OF CONNECTICUT, LLC (NPI# 1467755900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467755900 |
| Entity Type | Organization |
| Organization Name | PAIN & SPINE SPECIALISTS OF CONNECTICUT, LLC |
| Practice Address |
1320 W Main St Bldg 2 Waterbury CT 06708-3119 |
| Mailing Address |
67 Sand Pit Rd Suite 308 Danbury CT 06810-4032 |
| Practice Telephone | 2037582523 |
| Practice Fax Number | 2037923920 |
| Mailing Telephone | 2037437246 |
| Mailing Fax Number | 2037923920 |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2020-01-15 |
| Authorized Official Name | DR. DAVID C LEVI (PRESIDENT) |
| Authorized Official Telephone | 2037437246 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 038785 | CT | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256378 | Pain & Spine Specialists of Connecticut, LLC | Pain Medicine | 75 Kings Highway Cutoff Ste 3a, Fairfield, CT 06824-5340 | 2020-08-20 |
| 1528535119 | Pain & Spine Specialists of Connecticut, LLC | Non-Pharmacy Dispensing Site | 5520 Park Ave Ste Wp2-200, Trumbull, CT 06611-3463 | 2018-11-01 |
| 1235606880 | Pain & Spine Specialists of Connecticut, LLC | Non-Pharmacy Dispensing Site | 1320 W Main St Bldg 2, Waterbury, CT 06708-3131 | 2018-10-31 |
| 1174826598 | Pain & Spine Specialists of Connecticut, LLC | Specialist | 131 Kent Rd Bldg A, New Milford, CT 06776-3485 | 2010-12-07 |
| 1467588020 | Pain & Spine Specialists of Connecticut, LLC | Pain Medicine | 67 Sandpit Rd, Suite 308, Danbury, CT 06810-4032 | 2007-02-26 |
| 1891262481 | Pain & Spine Specialists of Connecticut, LLC | Non-Pharmacy Dispensing Site | 67 Sand Pit Rd Ste 308, Danbury, CT 06810-4032 | 2018-11-01 |
| 1700353398 | Pain & Spine Specialists of Connecticut, LLC | Non-Pharmacy Dispensing Site | 11 South Rd Ste 250, Farmington, CT 06032-2484 | 2018-11-01 |
| 1346717931 | Pain & Spine Specialists of Connecticut, LLC | Non-Pharmacy Dispensing Site | 131 Kent Rd Bldg A, New Milford, CT 06776-3485 | 2018-11-01 |
| Street Address |
1320 W MAIN ST BLDG 2 |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-3119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487291829 | Kaitland Ard | Physician Assistant | 1320 W Main St, Waterbury, CT 06708-3119 | 2019-12-04 |
| 1437790151 | Villacis Eyecare LLC | Optometrist | 1320 W Main St, Waterbury, CT 06708-3119 | 2019-10-03 |
| 1336796655 | Jennifer Paige Howell | Nurse Practitioner | 1320 W Main St, Waterbury, CT 06708-3119 | 2019-08-21 |
| 1942721733 | New Insight Family Eye Care | Optometrist | 1320 W Main St, Waterbury, CT 06708-3119 | 2017-06-30 |
| 1700329430 | Douglas Brylle | Emergency Medical Technician, Basic | 1320 W Main St, Waterbury, CT 06708-3119 | 2016-11-29 |
| 1609248061 | Sara Steinagel | Occupational Therapist | 1320 W Main St, Waterbury, CT 06708-3119 | 2015-10-26 |
| 1386985901 | Kristen T Deely | Occupational Therapist | 1320 W Main St, Waterbury, CT 06708-3119 | 2013-03-06 |
| 1477832806 | Salman Khalid | Internal Medicine | 1320 W Main St, Waterbury, CT 06708-3119 | 2011-08-16 |
| 1316241466 | New Insight Family Eyecare | Optometrist | 1320 W Main St, Waterbury, CT 06708-3119 | 2011-01-04 |
| 1205154903 | Neurosurgery, Orthopaedics & Spine Specialists, PC | Orthopaedic Surgery | 1320 W Main St, Waterbury, CT 06708-3119 | 2010-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
| 1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
| 1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
| 1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
| Find all providers in zip 06708 | ||||
| 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 |
|---|---|---|---|---|
| 1912940784 | Thomas R. Alosco, M.d., P.C. | Specialist | 1336 W Main St, Suite 1a, Waterbury, CT 06708-3122 | 2006-06-13 |
| 1518955236 | David C Levi | Specialist | 1320 W Main St Unit 5, Waterbury, CT 06708-3119 | 2005-10-06 |
| 1780839977 | A.aziz Richi, Md, LLC | Specialist | 1389 W Main St, Suite 322, Waterbury, CT 06708-3104 | 2008-12-01 |
| 1255584314 | Abdulmasih Zarif, Md, LLC | Specialist | 1389 W Main St, Suite 321, Waterbury, CT 06708-3104 | 2008-11-02 |
| 1689846719 | David G. Reis Md, LLC | Specialist | 140 Grandview Ave, Suite 204, Waterbury, CT 06708-2505 | 2008-03-28 |
| 1699960203 | Connecticut Pain Care, P.C. | Specialist | 1389 W Main St, Suite #123, Waterbury, CT 06708-3104 | 2007-09-07 |
| 1497874945 | Surgical Specialists PC | Specialist | 134 Grandview Ave, Suite 209, Waterbury, CT 06708-2507 | 2007-03-28 |
| 1215065503 | Stephen Harris | Specialist | 2457 E Main St, Waterbury, CT 06705-2685 | 2007-03-01 |
| 1538239561 | Patricia B Skiff | Specialist | 117 Sharon Rd, Mall View Plaza, Waterbury, CT 06705-4000 | 2006-11-08 |
| 1558430785 | Jenny M Braddock | Specialist | 117 Sharon Rd, Mall View Plaza, Waterbury, CT 06705-4000 | 2006-11-06 |
| Find all providers in WATERBURY | ||||
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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.