Active NPI
Mid-Atlantic Pain Institute, P.a.
Doing business as Mid Atlantic Spine
- Interventional Pain Medicine Physician
- Wilmington, DE
National Provider Identifier
1104980770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- C10004539
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001097202 | Medicaid | DE | |
| CF8249 | Other | DE | RAILROAD MEDICARE |
Other names 1
- Mid Atlantic Spine
National Provider Directory
National Provider DirectoryLocations
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
- Michael Michelli, AU.D.
- Mid Atlantic Prosthetics and Orthotics North
- Mid Atlantic Surgical LLC
- Mid-Atlantic Dental Partners Delaware II Professional Associates (Gentle Touch Smiles for Kids)
- Mid-Atlantic Dental Partners Delaware Professional Association
- Mid-Atlantic Surgical Practice
- Shanna Midgley, APRN
- Molly C Miersch, PT
- Joanna R. Migliore
- Kristina Migliore
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.