Adirondack Pain Management, PLLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

180710 Issued in NY

Legal business name

ADIRONDACK PAIN MANAGEMENT, PLLC

Practice address

1656 Champlin Ave
Utica, NY 13502-4830

Phone

(315) 266-0380

NPI assigned

Feb 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michelle M Johnston, MD

Title

Co-Owner

Phone

(315) 292-1264

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hamid Moosavi, M.D.

  • Ophthalmology Physician
  • Utica, NY
  • NPI 1740326941
  NPD (past)
• Maynard A. Shumway, PA-C

  • Surgical Physician Assistant
  • Utica, NY
  • NPI 1205860798
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545091200000",
    "number": "1104899756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LOMOND CT",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025950",
            "telephone_number": "315-292-1264",
            "fax_number": "315-266-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 CHAMPLIN AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024830",
            "telephone_number": "315-266-0380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Lomond Ct",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "135025950",
            "country_code": "US",
            "telephone_number": "315-292-1264",
            "fax_number": "315-266-0385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADIRONDACK PAIN MANAGEMENT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2018-12-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "315-292-1264",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "180710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nabin Adhikari, MD
• Adirondack Neurosurgical Specialist
• Advanced Device Access Management, LLC
• Advanced Physical Medicine & Rehabilitation LLC
• Advanced Physical Medicine & Rehabilitation LLC
• Barbara Agans-Sweeney, PA
• Bajrang L Agarwal, MD

• Pain Medicine (Anesthesiology) Physician in Utica, NY
• Providers in Utica, NY by specialty
• Pain Medicine (Anesthesiology) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.