Organization Active NPI

Mid-Atlantic Pain Institute, P.a.

Doing business as Mid Atlantic Spine

  • Interventional Pain Medicine Physician
  • Wilmington, DE
National Provider Identifier
1104980770
Registry record updated May 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
C10004539 Issued in DE
Legal business name
MID-ATLANTIC PAIN INSTITUTE, P.A.
Doing business as
Mid Atlantic Spine
Practice address
1806 N Van Buren St
Suite 110
Wilmington, DE 19802-3851
Phone
(302) 472-0163
Fax
(302) 472-0164
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2009

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

Authorized official

Name
Dr. Frank John Falco, MD
Title
Medical Director
Phone
(302) 369-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X C10004539 DE Primary

Addresses

Primary practice location

1806 N Van Buren St
Suite 110
Wilmington, DE 19802-3851

Mailing address

139 E Chestnut Hill Rd
Newark, DE 19713-4043
Phone (302) 369-1700

Other identifiers 2

IdentifierTypeStateIssuer
001097202MedicaidDE
CF8249OtherDERAILROAD MEDICARE

Other names 1

  • Mid Atlantic Spine Doing business as

National Provider Directory

National Provider Directory

Locations

1806 N Van Buren St
Ste 110
Wilmington, DE 19802
Phone (302) 654-8142

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242345600000",
    "number": "1104980770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 E CHESTNUT HILL RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134043",
            "telephone_number": "302-369-1700",
            "fax_number": "302-369-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 N VAN BUREN ST",
            "address_2": "SUITE 110",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198023851",
            "telephone_number": "302-472-0163",
            "fax_number": "302-472-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-ATLANTIC PAIN INSTITUTE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2009-05-15",
        "status": "A",
        "authorized_official_last_name": "FALCO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "302-369-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "DE",
            "license": "C10004539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001097202",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CF8249",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid Atlantic Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; 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.