ATLANTIC ANESTHESIA AND PAIN MANAGEMENT SERVICES, LLC (NPI# 1740647932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740647932 |
| Entity Type | Organization |
| Organization Name | ATLANTIC ANESTHESIA AND PAIN MANAGEMENT SERVICES, LLC |
| Practice Address |
4 Dearfield Dr Ste 105 Dearfield Medical Building Greenwich CT 06831-5351 |
| Mailing Address |
2 Cotswood Rd Greenwich CT 06830-4713 |
| Practice Telephone | 2036616699 |
| Mailing Telephone | 2038038828 |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-01-20 |
| Authorized Official Name | DR. DMITRY MIRONOV (MEMBER) |
| Authorized Official Telephone | 2038038828 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
037028 | CT | Ambulatory Health Care Facilities |
| Street Address |
4 DEARFIELD DR STE 105 DEARFIELD MEDICAL BUILDING |
| City | GREENWICH |
| State | CT |
| Zip Code | 06831-5351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174896161 | Harandi Health & Longevity LLC | Naturopath | 4 Dearfield Dr Ste 105, Greenwich, CT 06831-5351 | 2012-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700401775 | Aba Telehealth Project, LLC | Behavioral Analyst | 29 Valley Drive, #5004, Greenwich, CT 06831 | 2020-06-15 |
| 1972069466 | Maryse C Vincent | Licensed Practical Nurse | 36 Greenwich Hills Drive, Greenwich, CT 06831 | 2019-02-20 |
| 1720409766 | Livia Stephania Kijac | Psychiatry & Neurology | 10 Dwight Lane, Greenwich, CT 06831 | 2013-12-18 |
| 1114355286 | Sueli Pini Dejesus | Pharmacist | 7 Moshier St, Greenwich, CT 06831 | 2013-10-28 |
| 1386970960 | Dandan Tu | Physical Medicine & Rehabilitation | 1165 King Street, Greenwich Woods Rehabilitation & Health Care Cente, Greenwich, CT 06831 | 2009-11-02 |
| 1659606390 | Christine Speck | Social Worker | 21 Nicholas Ave, Greenwich, CT 06831 | 2009-10-14 |
| 1992991343 | Josephine A Capocci | Registered Nurse | 5 Willow Run Rd, Greenwich, CT 06831 | 2007-09-19 |
| 1841418571 | Alisa Krystyn Miller | Podiatrist | 2 Half Dearfield Dr., Greenwich, CT 06831 | 2007-04-20 |
| 1801919170 | Elsa M. Raskin Physician PC | Plastic Surgery | 2 1 2 Dearfield Drive, Suite 102, Greenwich, CT 06831 | 2007-04-09 |
| 1023150687 | Lisa Violi | Physician Assistant | 2 and One Half Dearfield Drive, Greenwich, CT 06831 | 2007-02-12 |
| Find all providers in zip 06831 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730240854 | Pain Management Center of Farmington | Clinic/Center | 270 Farmington Ave, Farmington, CT 06032-1909 | 2006-12-12 |
Please comment or provide details below to improve the information on ATLANTIC ANESTHESIA AND PAIN MANAGEMENT SERVICES, 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.