PAIN & SPINE SPECIALISTS OF CONNECTICUT, LLC (NPI# 1700353398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700353398 |
| Entity Type | Organization |
| Organization Name | PAIN & SPINE SPECIALISTS OF CONNECTICUT, LLC |
| Practice Address |
11 South Rd Ste 250 Farmington CT 06032-2484 |
| Mailing Address |
11350 Mccormick Rd Executive Plaza 1, Suite 501 Hunt Valley MD 21031 |
| Practice Telephone | 8606740222 |
| Practice Fax Number | 8606740024 |
| Mailing Telephone | 4103291071 |
| Mailing Fax Number | 4103291054 |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2018-11-01 |
| Authorized Official Name | DAVID C LEVI (MEDICAL DOCTOR) |
| Authorized Official Telephone | 2037927246 |
| Is Organization Subpart | Y |
| Parent Organization Name | PAIN & SPINE SPECIALISTS OF CONNECTICUT, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| 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 |
| 1346717931 | Pain & Spine Specialists of Connecticut, LLC | Non-Pharmacy Dispensing Site | 131 Kent Rd Bldg A, New Milford, CT 06776-3485 | 2018-11-01 |
| 1467755900 | Pain & Spine Specialists of Connecticut, LLC | Specialist | 1320 W Main St, Bldg 2, Waterbury, CT 06708-3119 | 2010-12-06 |
| Street Address |
11 SOUTH RD STE 250 |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06032-2484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780183988 | Julianna Catherine Dannenhoffer | Registered Nurse | 11 South Rd Ste 250, Farmington, CT 06032-2484 | 2018-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508499435 | Kelsey Erin Boyne | Student in an Organized Health Care Education/Training Program | 200 Academic Way, Farmington, CT 06032 | 2020-02-19 |
| 1760024723 | Baliram Maraj | Dentist | 801 Plainville Ave., Farmington, CT 06032 | 2019-10-11 |
| 1770144958 | Dominique Feterman Jimenez | Student in an Organized Health Care Education/Training Program | Internal Medicine Associates Outpatient Pavilion 2 West, 263 Farmington Avenue, Farmington, CT 06032 | 2019-06-27 |
| 1033770698 | Tiffany Otto | Nurse Practitioner | 27o Farmington Avenue, # 309, Farmington, CT 06032 | 2019-06-25 |
| 1124683941 | Aleksandra M Sliwinska | Student in an Organized Health Care Education/Training Program | Uconn Health Im Associates, 263 Farmington Avenue, Op, 2 West, Farmington, CT 06032 | 2019-05-07 |
| 1922663889 | Sean Ag Harford | Student in an Organized Health Care Education/Training Program | Uconn Health - Internal Medicine Associates, 263 Farmington Avenue, Op, 2 West, Farmington, CT 06032 | 2019-05-07 |
| 1710450507 | Kathy Jean Campbell | Occupational Therapist | 10 Birdseye Rd, Farmington, CT 06032 | 2019-01-04 |
| 1790273373 | Cameron Seymour | Dentist | 291 Farmington Ave Ste 5, Farmington, CT 06032 | 2018-04-29 |
| 1881181790 | Robin L Shahverdian LLC | Counselor | 304 Main St Ste D428, Farmington, CT 06032 | 2018-04-16 |
| 1588160998 | Sight Sensory Rehabilitation Center, Pllc | Optometrist | 10 Birdseye Road, Farmington, CT 06032 | 2018-04-04 |
| Find all providers in zip 06032 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801456959 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | 19685 Pilot Knob Rd, Farmington, MN 55024-7238 | 2019-06-19 |
| 1982057501 | Midwest Health Group Convenient Care, LLC | Non-Pharmacy Dispensing Site | 550 Maple Valley Dr, Farmington, MO 63640-1981 | 2016-07-19 |
| 1760754386 | Midwest Health Group, LLC | Non-Pharmacy Dispensing Site | 508 W Pine St, Farmington, MO 63640-1426 | 2012-01-27 |
| 1174753305 | Health & Nutrition, LLC | Non-Pharmacy Dispensing Site | 630 Shepard Ln Ste 102, Farmington, UT 84025-3934 | 2009-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1891262481 | Pain & Spine Specialists of Connecticut, LLC | Non-Pharmacy Dispensing Site | 67 Sand Pit Rd Ste 308, Danbury, CT 06810-4032 | 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 |
| 1619323706 | Norwich Orthopedic Group, PC | Non-Pharmacy Dispensing Site | 11 Industrial Park Rd, Niantic, CT 06357-1904 | 2016-05-09 |
| 1407297203 | Norwalk Medical Group | Non-Pharmacy Dispensing Site | 24 Stevens St, Norwalk, CT 06850-3852 | 2013-07-10 |
| 1306103502 | Feel Well Health Center of Southington, PC | Non-Pharmacy Dispensing Site | 710 Main St, Bldg 4, Plantsville, CT 06479-1565 | 2012-04-12 |
| City | FARMINGTON |
| Zip Code | 06032 |
Please comment or provide details below to improve the information on PAIN & SPINE SPECIALISTS OF CONNECTICUT, 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.