Mikhail Y Ivanovsky (NPI# 1598810244, PAC ID# 0042253601) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1598810244 |
| PAC ID by PECOS | 0042253601 |
| Professional Enrollment ID | I20050603001051 |
| Full Name | Mikhail Y Ivanovsky |
| Organization Legal Name | PAIN TREATMENT CENTERS OF AMERICA PLLC |
| Address |
4020 Richards Rd Suite A North Little Rock AR 72117-2744 |
| Phone Number | 5017736993 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1998 |
| Primary Specialty | PAIN MANAGEMENT |
| Secondary Specialties | ANESTHESIOLOGY |
| Group Practice PAC ID | 2769608819 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040114 | BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK |
| Address | Phone | Organization |
|---|---|---|
| 108 N Shackleford Rd, Little Rock, AR 72211-2840 | 5017736993 | PAIN TREATMENT CENTERS OF AMERICA PLLC |
| 4020 Richards Rd, Suite A, North Little Rock, AR 72117-2744 | 5017736993 | PAIN TREATMENT CENTERS OF AMERICA PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 53% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 98% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 87% |
| Organization Legal Name | PAIN TREATMENT CENTERS OF AMERICA PLLC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa A Campbell | Nurse Practitioner | Pain Treatment Centers of America Pllc | 1502 Se 28th St, Suite 8, Bentonville, AR 72712-0076 |
| James Hunt | Pain Management | Pain Treatment Centers of America Pllc | 403 S Poplar St, Suite A, Searcy, AR 72143-6000 |
| Robert Baker | Pain Management | Pain Treatment Centers of America Pllc | 108 N Shackleford Rd, Little Rock, AR 72211-2840 |
| Ahmad N Rafi | Pain Management | Pain Treatment Centers of America Pllc | 2100 N State Line Ave, Texarkana, AR 71854-3583 |
| Meraj Siddiqui | Pain Management | Pain Treatment Centers of America Pllc | 8608 Dollarway Rd, Suite B, White Hall, AR 71602-2867 |
| Reid C Parnell | Physical Therapy | Pain Treatment Centers of America Pllc | 108 N Shackleford Rd, Little Rock, AR 72211-2840 |
| Kristy L Thompson | Nurse Practitioner | Pain Treatment Centers of America Pllc | 108 N Shackleford Rd, Little Rock, AR 72211-2840 |
| Honey Hull | Nurse Practitioner | Pain Treatment Centers of America Pllc | 108 N Shackleford Rd, Little Rock, AR 72211-2840 |
| Kayla Beth Ingram-smith | Nurse Practitioner | Pain Treatment Centers of America Pllc | 8608 Dollarway Rd, Suite B, White Hall, AR 71602-2867 |
| Neeraj Kumar | Anesthesiology | Pain Treatment Centers of America Pllc | 403 S Poplar St, Suite A, Searcy, AR 72143-6000 |
| Street Address |
4020 RICHARDS RD SUITE A |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip | 72117-2744 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charlotte Y Coats | Qualified Audiologist | Arkansas Ear Nose and Throat, Pa | 4020 Richards Rd, Suite B, North Little Rock, AR 72117-2744 |
| Kimra K Cook | Psychiatry | Lakewood Behavioral Health Associates | 4020 Richards Rd, Suite F, North Little Rock, AR 72117-2744 |
| Cathryn C Hollis | Qualified Audiologist | Arkansas Ear Nose and Throat, Pa | 4020 Richards Rd, Suite B, North Little Rock, AR 72117-2744 |
| John A Lierly Jr. | Psychologist, Clinical | Lakewood Behavioral Health Associates | 4020 Richards Rd, Suite F, North Little Rock, AR 72117-2744 |
| Melanie H Smith | Otolaryngology | Arkansas Ear Nose and Throat, Pa | 4020 Richards Rd, Suite B, North Little Rock, AR 72117-2744 |
| Rebecca N Foster | Physician Assistant | Pain Treatment Centers of America Pllc | 4020 Richards Rd, Suite A, North Little Rock, AR 72117-2744 |
| Joe B Colclasure | Otolaryngology | Arkansas Ear Nose and Throat, Pa | 4020 Richards Rd, Suite B, North Little Rock, AR 72117-2744 |
| Deborah K Penny | Clinical Social Worker | Lakewood Behavioral Health Associates | 4020 Richards Rd, Suite F, North Little Rock, AR 72117-2744 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica R Chapin | Occupational Therapy | Arkansas Pain Centers, Ltd | 308 Smokey Ln, North Little Rock, AR 72117-2508 |
| Margaret B Rector | Psychologist, Clinical | Arkansas Pain Centers, Ltd | 308 Smokey Ln, North Little Rock, AR 72117-2508 |
| Butchaiah Garlapati | Physical Medicine and Rehabilitation | Arkansas Pain Centers, Ltd | 308 Smokey Ln, North Little Rock, AR 72117-2508 |
| David C Morse | Chiropractic | Arkansas Pain Centers, Ltd | 308 Smokey Ln, North Little Rock, AR 72117-2508 |
| Dina Elias Dahdal | Physical Medicine and Rehabilitation | Arkansas Pain Centers, Ltd | 308 Smokey Ln, North Little Rock, AR 72117-2508 |
| M Irfan Suleman | Pain Management | Arkansas Pain Centers, Ltd | 308 Smokey Ln, North Little Rock, AR 72117-2508 |
| Crystal N Rainey | Nurse Practitioner | Arkansas Pain Centers, Ltd | 308 Smokey Ln, North Little Rock, AR 72117-2508 |
| Donna F Crowder | Nurse Practitioner | Arkansas Pain Centers, Ltd | 308 Smokey Ln, North Little Rock, AR 72117-2508 |
| William F Hefley Jr. | Orthopedic Surgery | Bowen Hefley Rhodes Stewart Orthopedics, Pa | 4300 Landers Rd, North Little Rock, AR 72117-2525 |
| Matthew W Thornton | Physical Therapy | Bowen Hefley Rhodes Stewart Orthopedics, Pa | 4300 Landers Rd, North Little Rock, AR 72117-2525 |
| Find all physicians in zip 72117 | |||
| City | NORTH LITTLE ROCK |
| Zip Code | 72117 |
| Specialty | PAIN MANAGEMENT |
| City + Specialty | NORTH LITTLE ROCK + PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Mikhail Y Ivanovsky.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.