MERRIMACK VALLEY PAIN MANAGEMENT PC (NPI# 1942667837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942667837 |
| Entity Type | Organization |
| Organization Name | MERRIMACK VALLEY PAIN MANAGEMENT PC |
| Practice Address |
280 Merrimack St. Suite 103 Lawrence MA 01843 |
| Practice Telephone | 9786852455 |
| Practice Fax Number | 9786852459 |
| Mailing Telephone | 9786852455 |
| Mailing Fax Number | 9786852959 |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2016-01-22 |
| Authorized Official Name | RAMI RUSTUM (DIRECTOR) |
| Authorized Official Telephone | 9786852455 |
| Authorized Official Credential | MD. |
| Is Organization Subpart | Y |
| Parent Organization Name | MERRIMACK VALLEY PAIN MANAGEMENT PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
213741 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
280 MERRIMACK ST. SUITE 103 |
| City | LAWRENCE |
| State | MA |
| Zip Code | 01843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871647297 | Rula Youssef | Family Medicine | 280 Merrimack St., Suite 103, Lawrence, MA 01843 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466703 | Jean A Schrow | Student in an Organized Health Care Education/Training Program | 350 Merrimack Street Bldg 5, Lawrence, MA 01843 | 2020-01-23 |
| 1053959049 | Carolyn O'connor | Occupational Therapist | 439 S. Union St, Bldg. 1, Ste. 110, Lawrence, MA 01843 | 2019-12-20 |
| 1578120754 | My Dental Lawrence Pllc | Clinic/Center | My Dental Lawrence Pllc, 465 South Broadway, Lawrence, MA 01843 | 2019-05-23 |
| 1336600071 | Michelle Ann Guillette | Counselor | 360 Merrimack St Bldg. 9, Entrance H, Lawrence, MA 01843 | 2019-03-26 |
| 1629540158 | Kathleen D Coale | Physical Therapist | Heritage Place, Building 1, Suite 101, 439 South Union Street, Lawrence, MA 01843 | 2018-12-21 |
| 1306334933 | Jannice Mari Adorno | Community/Behavioral Health | 34 Farnham Street, Lawrence, MA 01843 | 2018-04-30 |
| 1710489935 | Maureen Lyn Deangelis | Social Worker | Robert Frost Elementary School, 33 Hamlet Street, Lawrence, MA 01843 | 2018-03-03 |
| 1215448733 | Henry Joseph De Lima | Social Worker | 360 Merrimack Street, Bldg 9, 3rd Floor, Lawernce, MA 01843 | 2017-10-24 |
| 1710404090 | Awilda M Pimentel | Counselor | 111 River Pointe Way, Lawrence, MA 01843 | 2017-08-28 |
| 1215454772 | Yu Yu Chen | Counselor | 439 S.union St, Suite 116, Lawrence, MA 01843 | 2017-08-25 |
| Find all providers in zip 01843 | ||||
| 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 |
|---|---|---|---|---|
| 1992825376 | Stephanie Michelle Schmidt | Anesthesiology | 330 Arkansas St, Suite # 210, Lawrence Anaesthesia Pa, Lawrence, KS 66044 | 2007-03-30 |
| 1710987615 | Michael C Connelly | Anesthesiology | 354 Merrimack St Ste 1, Lawrence, MA 01843-1755 | 2005-07-21 |
| 1134729825 | New England Neurological-bilh, LLC | Anesthesiology | 354 Merrimack St Ste 1, Lawrence, MA 01843-1755 | 2020-10-30 |
| 1841854551 | New England Neurological-bilh, LLC | Anesthesiology | 354 Merrimack St Ste 1, Lawrence, MA 01843-1755 | 2019-04-29 |
| 1346537982 | Mallory Glynnis Martinez | Anesthesiology | 330 Arkansas St, Ste 210, Lawrence, KS 66044-1394 | 2011-07-04 |
| 1073577847 | Thomas A Nique | Anesthesiology | 330 Arkansas St, Suite 210, Lawrence, KS 66044-1335 | 2006-04-17 |
| 1487618229 | Lawrence Anaesthesia Pa | Anesthesiology | 613 N 2nd St, Lawrence, KS 66044-1407 | 2006-04-17 |
| 1649234410 | Christopher J Malik | Anesthesiology | 330 Arkansas St, Suite 210, Lawrence, KS 66044-1335 | 2006-04-17 |
| 1932163789 | Dan O Roelofs | Anesthesiology | 330 Arkansas St, Suite 210, Lawrence, KS 66044-1335 | 2006-04-17 |
| 1629032883 | Michael D Lange | Anesthesiology | 330 Arkansas St, Suite 210, Lawrence, KS 66044-1335 | 2006-04-14 |
| Find all providers in LAWRENCE | ||||
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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.