Spine & Pain Associates PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

SPINE & PAIN ASSOCIATES PLLC

Practice address

1716 E Hundred Rd
Suite 102
Chester, VA 23836-3301

Phone

(804) 681-0177

Fax

(804) 681-0747

NPI assigned

May 16, 2013

Last updated

May 16, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Usman Ahmad

Title

Billing Manager

Phone

(718) 705-4695

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1164868162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 E HUNDRED RD",
            "address_2": "SUITE 102",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238363301",
            "telephone_number": "804-681-0177",
            "fax_number": "804-681-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 E HUNDRED RD",
            "address_2": "SUITE 102",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238363301",
            "telephone_number": "804-681-0177",
            "fax_number": "804-681-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE & PAIN ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "USMAN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "718-705-4695",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Chester, VA
• Providers in Chester, VA by specialty
• Physical Medicine & Rehabilitation Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.