PAIN & SPINE SPECIALISTS OF CONNECTICUT, LLC (NPI# 1891262481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891262481 |
Entity Type | Organization |
Organization Name | PAIN & SPINE SPECIALISTS OF CONNECTICUT, LLC |
Practice Address |
67 Sand Pit Rd Ste 308 Danbury CT 06810-4032 |
Mailing Address |
11350 Mccormick Rd Executive Plaza 1, Suite 501 Hunt Valley MD 21031 |
Practice Telephone | 2037437264 |
Practice Fax Number | 2037923920 |
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 |
1700353398 | Pain & Spine Specialists of Connecticut, LLC | Non-Pharmacy Dispensing Site | 11 South Rd Ste 250, Farmington, CT 06032-2484 | 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 |
67 SAND PIT RD STE 308 |
City | DANBURY |
State | CT |
Zip Code | 06810-4032 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801877915 | Ross Elliot Dickstein | Anesthesiology | 67 Sand Pit Rd Ste 308, Danbury, CT 06810-4032 | 2005-11-07 |
1477197671 | Spine Center of Ct, Pllc | Pain Medicine | 67 Sand Pit Rd Ste 308, Danbury, CT 06810-4032 | 2019-10-30 |
1083663058 | Deloretta Theresa Eckenrode | Nurse Practitioner | 67 Sand Pit Rd Ste 308, Danbury, CT 06810 | 2006-05-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235751017 | Jai Karan Singh | Student in an Organized Health Care Education/Training Program | 120 Main Street, Connecticut Institute of Communities, Danbury, CT 06810 | 2020-05-14 |
1497377576 | Jahangir Rouzbehani Selakhor | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave. 06810-6099, Danbury, CT 06810 | 2020-05-12 |
1255984043 | Michelle Jean Moore | Nurse Practitioner | 95 Locust Avenue 1st Floor Oncology, Stroock Building, Danbury, CT 06810 | 2019-07-20 |
1740748755 | Jose Rafael Rivera | Pharmacist | 305 White St, Danbury, CT 06810 | 2019-03-08 |
1013406396 | Aswathi Elsa Mathew | Student in an Organized Health Care Education/Training Program | Greater Danbury Community Health Center, 120 Main St, Danbury, CT 06810 | 2018-05-02 |
1073001772 | Manish Kumar Gupta | Student in an Organized Health Care Education/Training Program | Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 | 2018-04-27 |
1396232005 | Ayushman Rai Sood | Student in an Organized Health Care Education/Training Program | 24 Hospital Avenue, Danbury Hospital, Danbury, CT 06810 | 2018-04-18 |
1366953705 | Connecticut Neurodiagnostics, LLC | Clinic/Center | 83 Wooster Heights Rd., Suite 125, Office 145, Danbury, CT 06810 | 2017-10-12 |
1528585569 | Xing Zhu | Dentist | 28 Paulding Ter, Danbury, CT 06810 | 2017-08-29 |
1851812606 | Julie Susanne Alferi | Dental Hygienist | 70, Main Street, Danbury, CT 06810 | 2017-07-02 |
Find all providers in zip 06810 |
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 |
---|---|---|---|---|
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 |
1700353398 | Pain & Spine Specialists of Connecticut, LLC | Non-Pharmacy Dispensing Site | 11 South Rd Ste 250, Farmington, CT 06032-2484 | 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 |
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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.