PAIN MANAGEMENT CENTERS OF NEW ENGLAND, LLC (NPI# 1558701789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558701789 |
| Entity Type | Organization |
| Organization Name | PAIN MANAGEMENT CENTERS OF NEW ENGLAND, LLC |
| Practice Address |
480 Maple St Suite C233a Danvers MA 01923-4065 |
| Practice Telephone | 9783048690 |
| Practice Fax Number | 9783048697 |
| Mailing Telephone | 9783048690 |
| Mailing Fax Number | 9783048697 |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2014-02-04 |
| Authorized Official Name | KENNETH R BRANTON (PARTNER) |
| Authorized Official Telephone | 9783048690 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | BEVERLY ANESTHESIA ASSOCIATES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
480 MAPLE ST SUITE C233A |
| City | DANVERS |
| State | MA |
| Zip Code | 01923-4065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427041268 | Beverly Anesthesia Associates, Inc. | Anesthesiology | 480 Maple St, Suite C233a, Danvers, MA 01923-4065 | 2005-08-26 |
| 1235776998 | Meghan Elizabeth Fisher | Nurse Practitioner | 480 Maple St, Danvers, MA 01923-4065 | 2019-12-02 |
| 1386161933 | Shelby Kaubris | Nurse Practitioner | 480 Maple St, Danvers, MA 01923-4065 | 2017-08-24 |
| 1285159400 | Melanie L Klein | Nurse Practitioner | 480 Maple St, Danvers, MA 01923-4065 | 2017-08-09 |
| 1093239360 | Michael S. Gordon M.d. | Internal Medicine | 480 Maple St, Danvers, MA 01923-4065 | 2017-07-28 |
| 1033650056 | Pain Modulation Associates Pllc | Anesthesiology | 480 Maple St, Pain Management Center, Danvers, MA 01923-4065 | 2017-03-09 |
| 1750765046 | Heidi Prieur | Nurse Practitioner | 480 Maple St, Danvers, MA 01923-4065 | 2015-07-16 |
| 1235522087 | Christie Ann Ellis | Nurse Anesthetist, Certified Registered | 480 Maple St, Suite C233a, Danvers, MA 01923-4065 | 2015-03-17 |
| 1679916142 | Patrick J Keating | Nurse Anesthetist, Certified Registered | 480 Maple St, Suite C233a, Danvers, MA 01923-4065 | 2013-04-15 |
| 1114237419 | Elizabeth Shuman | Clinical Nurse Specialist | 480 Maple St, Center for Healthy Aging, Danvers, MA 01923-4065 | 2010-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558902320 | Amanda Ashley Harting | Social Worker | 111 Middleton Road, Danvers, MA 01923 | 2019-10-03 |
| 1407400641 | Tom Biggart | Clinic/Center | 110 Newbury St, Danvers, MA 01923 | 2019-07-25 |
| 1669958252 | Marie Marguerite Peloquin | Internal Medicine | 480 Maple St. Suite 201, Lahey Outpatient Center, Danvers, Danvers, MA 01923 | 2018-07-17 |
| 1033604079 | Vanessa Lynne Rachels | Social Worker | 110 Middleton Rd, Danvers, MA 01923 | 2018-06-22 |
| 1376036517 | Meredith A Biggart | Dietitian, Registered | 110 Newbury St Ste E, Danvers, MA 01923 | 2018-06-12 |
| 1528569431 | Alaina Alderman | Behavioral Analyst | 1 Southside Rd, Danvers, MA 01923 | 2018-02-26 |
| 1023536661 | Rachel Anne Ziner | Specialist/Technologist | 49 Reservoir Dr, Danvers, MA 01923 | 2017-09-05 |
| 1770004780 | Sierra Mclear | Developmental Therapist | 6 Southside R.d, Danvers, MA 01923 | 2017-06-29 |
| 1316479660 | Beth Israel Lahey Health Primary Care, Inc. | Clinic/Center | 480 Maple St., Lahey Health Urgent Care, Danvers, Danvers, MA 01923 | 2017-03-28 |
| 1548791890 | Joseph Chenvert | Massage Therapist | 227 Newbury Street, Danvers, MA 01923 | 2017-03-27 |
| Find all providers in zip 01923 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427041268 | Beverly Anesthesia Associates, Inc. | Anesthesiology | 480 Maple St, Suite C233a, Danvers, MA 01923-4065 | 2005-08-26 |
| 1033650056 | Pain Modulation Associates Pllc | Anesthesiology | 480 Maple St, Pain Management Center, Danvers, MA 01923-4065 | 2017-03-09 |
| 1326215823 | Anthony Lomonaco | Anesthesiology | 480 Maple St, Suite C233a, Danvers, MA 01923-4065 | 2008-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102614 | Premier Pain Management Pllc | Anesthesiology | 33 Electric Ave Ste 102, Fitchburg, MA 01420-7954 | 2019-03-05 |
| 1295969103 | Karen Munkacy | Anesthesiology | 116 Chestnut Hill Rd, Chestnut Hill, MA 02467-1310 | 2009-05-06 |
| 1073756441 | Prashant Kumar | Anesthesiology | 102 Shore Drive, Ste 502, Worcester, MA 01605-3154 | 2009-04-14 |
| 1568657120 | Han L Chiu | Anesthesiology | 80 Waltham Street, D-22, Norwell, MA 02061 | 2007-09-07 |
| 1366576191 | New England Pain Associates, P.C. | Anesthesiology | 48 Elm Street, Worcester, MA 01609-2541 | 2007-03-15 |
| 1619003092 | Sarah Louise Blake | Anesthesiology | 3 Woodland Rd Ste 318, Stoneham, MA 02180-1713 | 2007-02-27 |
| 1063579076 | William Emerson Dworet | Anesthesiology | 21 Brewster Cross Rd Unit C, Orleans, MA 02653-3339 | 2007-01-02 |
| 1235297250 | Bijan Nasseri Niaki | Anesthesiology | 91 Washington Street, 3rd Floor Ste 303, Taunton, MA 02780 | 2006-12-04 |
| 1073681508 | Galina Davidyuk | Anesthesiology | 75 Francis Str, Bwh Anesthesia Department, Boston, MA 02115 | 2006-12-01 |
| 1932133691 | Hariharan V Sundram | Anesthesiology | 205 Homer St, Newton, MA 02459-1420 | 2006-07-10 |
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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.