Back Pain Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BACK PAIN INC

Practice address

3333 S Crater Rd
Petersburg, VA 23805-9276

Phone

(804) 733-6870

Fax

(804) 226-9496

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Valerie Irvin

Title

Manager

Phone

(804) 226-8923

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

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

• Clarence Scranage Jr., M.D

  • Personal Emergency Response Attendant
  • North Chesterfield, VA
  • NPI 1144277765
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1124140918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3466",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238053466",
            "telephone_number": "804-226-8923",
            "fax_number": "804-226-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 S CRATER RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059276",
            "telephone_number": "804-733-6870",
            "fax_number": "804-226-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK PAIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "IRVIN",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "804-226-8923",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "249778",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "608600",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARNET",
            "identifier": "71574",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Acula Akeem Arrington, QPPMH
• Ashley Elise Arroyo, PA-C
• Shelita Renee Augustus
• Haluk K Aydin, MD
• B&M Heavenly Hands Home Care Inc.
• Erica Lynn Bagby, FNP-C
• Anne Bagley, DO
• Jennifer E Bagsby, LCSW
• Andrew William Bailey, PHARMD
• Sherri Joanne Ball, LPC, LMFT

• Family Medicine Physician in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.