PAIN MANAGEMENT ASSOCIATES OF GLASTONBURY LLC (NPI# 1881936029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881936029 |
| Entity Type | Organization |
| Organization Name | PAIN MANAGEMENT ASSOCIATES OF GLASTONBURY LLC |
| Practice Address |
394 W Center St Manchester CT 06040-4735 |
| Mailing Address |
318 Feldspar Rdg Glastonbury CT 06033-3391 |
| Practice Telephone | 8607590060 |
| Practice Fax Number | 8606336041 |
| Mailing Telephone | 8607590060 |
| Mailing Fax Number | 8606336041 |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-03-26 |
| Authorized Official Name | EWA GASZEK (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 8602824137 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | CT | Allopathic & Osteopathic Physicians | |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
CT | Allopathic & Osteopathic Physicians |
| Street Address |
394 W CENTER ST |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-4735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841296951 | Joy Demarcaida | Psychiatry & Neurology | 394 W Center St, Manchester, CT 06040-4735 | 2005-06-23 |
| 1881205979 | Sarah Elizabeth Thayer | Midwife | 394 W Center St, Manchester, CT 06040-4735 | 2020-08-12 |
| 1225507361 | Erin Michele Zaffis | Midwife | 394 W Center St, Manchester, CT 06040-4735 | 2018-11-19 |
| 1255630869 | Maura Aaberg | Advanced Practice Midwife | 394 W Center St, Manchester, CT 06040 | 2011-03-22 |
| 1932141298 | Eastern Connecticut Neurology Specialist LLC | Nurse Practitioner | 394 W Center St, Manchester, CT 06040-4735 | 2006-06-12 |
| 1831158922 | Gilbert R Balatbat | Anesthesiology | 394 W Center St, Manchester, CT 06040-4735 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501333 | Mackenzie Lawler | Social Worker | 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 | 2020-05-29 |
| 1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
| 1346881596 | Sheryl Andrine Henry | Technician | 185 Pine Street, Apt 014, Manchester, CT 06040 | 2019-09-30 |
| 1811550304 | Edward Wahn Lee | Student in an Organized Health Care Education/Training Program | 130 Hartford Road, Manchester, CT 06040 | 2019-04-19 |
| 1538689534 | Bernard Ashirifie | Counselor | 869 Main Street, Apt 3, Manchester, CT 06040 | 2017-06-21 |
| 1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
| 1114473436 | Amanda Edgar | Counselor | 469 Center Street, Manchester, CT 06040 | 2016-08-28 |
| 1760831366 | Samantha Micael | Marriage & Family Therapist | 200 West Center Street, Suite C-2-6, Manchester, CT 06040 | 2016-06-06 |
| 1962856179 | Odelia Brew | Nurse Practitioner | 256 Hackmatack Street, Manchester, CT 06040 | 2016-04-14 |
| 1306217765 | Stephen R Machattie | Social Worker | 843 Main St Ste 11, Manchester, CT 06040 | 2015-10-12 |
| Find all providers in zip 06040 | ||||
| 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 |
|---|---|---|---|---|
| 1437105608 | James Edward Roth | Anesthesiology | 1600 Mcarthur St, Manchester, TN 37355-2522 | 2006-05-26 |
| 1538166277 | Marshall S. Millman | Anesthesiology | 2345 Murfreesboro Hwy, Manchester, TN 37355-3206 | 2005-07-07 |
| 1033130208 | James R. Nunley D.o.,p.c. | Anesthesiology | 2345 Murfreesboro Hwy, Manchester, TN 37355-3206 | 2006-07-22 |
| 1144227067 | James R Nunley | Anesthesiology | 2345 Murfreesboro Hwy, Manchester, TN 37355-3206 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556317 | New England Advanced Spine & Pain Center LLC | Anesthesiology | 137 Hollow Tree Ridge Rd Apt 223, Darien, CT 06820-4056 | 2020-10-21 |
| 1922628957 | Pain Management Partners LLC | Anesthesiology | 67 Sand Pit Rd Ste 200, Danbury, CT 06810-4032 | 2020-04-20 |
| 1669007076 | Pain Management Partners LLC | Anesthesiology | 7 Elm St Ste 202, Enfield, CT 06082-3670 | 2020-03-05 |
| 1164057568 | Pain Management Partners LLC | Anesthesiology | 10 Birdseye Rd Ste 260, Farmington, CT 06032-2489 | 2020-03-05 |
| 1174155642 | Pain Management Partners LLC | Anesthesiology | 131 Kent Rd Ste 201, New Milford, CT 06776-3489 | 2020-02-12 |
| 1306485925 | Pain Management Partners LLC | Anesthesiology | 1320 W Main St Ste 5, Waterbury, CT 06708-3119 | 2019-12-30 |
| 1659630960 | Michael John Grille | Anesthesiology | 65 Memorial Rd #435, Hartford Hospital Pain Treatment Center, West Hartford, CT 06107 | 2012-05-07 |
| 1063679165 | James David Haddox | Anesthesiology | 23 Chadwick Ct, Monroe, CT 06468-4208 | 2008-05-18 |
| 1043494883 | Joseph C. Hung | Anesthesiology | Hospital for Special Surgery - Stamford, 1 Blachley Road, Stamford, CT 06902 | 2007-12-27 |
| 1861529018 | Jeffrey Carruth | Anesthesiology | 2080 Bridgeport Ave Ste C, Milford, CT 06460 | 2007-02-27 |
| Find all providers with the same taxonomy | ||||
| City | MANCHESTER |
| Zip Code | 06040 |
Please comment or provide details below to improve the information on PAIN MANAGEMENT ASSOCIATES OF GLASTONBURY 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.