Organization Active NPI

Spine & Pain Care LLC

  • Interventional Pain Medicine Physician
  • Rochester, NY
National Provider Identifier
1255431144
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
214078 Issued in NY
Legal business name
SPINE & PAIN CARE LLC
Practice address
1882 Winton Rd S
Ste 6
Rochester, NY 14618-3951
Phone
(585) 271-1620
Fax
(585) 271-1634
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Authorized official

Name
Dr. David Moorthi, MD
Title
Member LLC
Phone
(585) 271-1620

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2081P2900X 214078 NY
Interventional Pain Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208VP0014X 214078 NY Primary

Addresses

Primary practice location

1882 Winton Rd S
Ste 6
Rochester, NY 14618-3951

Mailing address

PO Box 18125
Rochester, NY 14618-0125
Phone (585) 271-1620

Other names 1

  • Advanced Pain Care LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

1160 Corporate Dr
Ste 500A
Farmington, NY 14425
Phone (585) 271-1620

45 Webster Commons Blvd
#200
Webster, NY 14580
Phone (585) 872-0650

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1255431144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18125",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146180125",
            "telephone_number": "585-271-1620",
            "fax_number": "585-271-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1882 WINTON RD S",
            "address_2": "STE 6",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183951",
            "telephone_number": "585-271-1620",
            "fax_number": "585-271-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE & PAIN CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "MOORTHI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEMBER LLC",
        "authorized_official_telephone_number": "585-271-1620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "214078",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "214078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Pain Care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.