PAIN MANAGEMENT CENTER OF FARMINGTON (NPI# 1730240854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730240854 |
| Entity Type | Organization |
| Organization Name | PAIN MANAGEMENT CENTER OF FARMINGTON |
| Practice Address |
270 Farmington Ave Farmington CT 06032-1909 |
| Mailing Address |
270 Farmington Ave Suite 337 Farmington CT 06032-1909 |
| Practice Telephone | 8606776671 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-08-09 |
| Authorized Official Name | BRUCE GOTTLIEB (SOLE PROPRIETOR) |
| Authorized Official Telephone | 8606776671 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| Street Address |
270 FARMINGTON AVE |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06032-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609854694 | Brian N Lewton | Specialist/Technologist | 270 Farmington Ave, Suite 174, Farmington, CT 06032-1909 | 2006-01-09 |
| 1700404167 | Jemilat Joy Azeez | Nurse Practitioner | 270 Farmington Ave, Farmington, CT 06032-1909 | 2020-07-10 |
| 1992335616 | Amanda Begin | Counselor | 270 Farmington Ave, Farmington, CT 06032-1909 | 2020-01-22 |
| 1508415928 | Sam Ol Ith | Pharmacist | 270 Farmington Ave, Farmington, CT 06032-1909 | 2019-09-09 |
| 1891235198 | Angela Hay | Social Worker | 270 Farmington Ave, Suite 309, Farmington, CT 06032-1909 | 2017-03-06 |
| 1881138568 | Julia Hamilton | Social Worker | 270 Farmington Ave, Suite 309, Farmington, CT 06032-1909 | 2016-12-14 |
| 1790237402 | Helen Polewoj | Social Worker | 270 Farmington Ave, Suite 309, Farmington, CT 06032-1909 | 2016-10-28 |
| 1922550771 | D Craig Newton | Social Worker | 270 Farmington Ave, Suite 309, Farmington, CT 06032-1909 | 2016-10-27 |
| 1023565926 | Nancy Bertulis | Social Worker | 270 Farmington Ave, #309, Farmington, CT 06032-1909 | 2016-09-08 |
| 1225583420 | The Cataract Vision Institute LLC | Clinic/Center | 270 Farmington Ave, Suite 172, Farmington, CT 06032-1909 | 2016-08-18 |
| Find all providers in the same location | ||||
| 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 | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922305580 | Smith Chiropractic, PC | Clinic/Center | 1707 E 20th St, Farmington, NM 87401-4309 | 2011-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740647932 | Atlantic Anesthesia and Pain Management Services, LLC | Clinic/Center | 4 Dearfield Dr Ste 105, Dearfield Medical Building, Greenwich, CT 06831-5351 | 2016-01-20 |
| City | FARMINGTON |
| Zip Code | 06032 |
Please comment or provide details below to improve the information on PAIN MANAGEMENT CENTER OF FARMINGTON.
| 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.