Advanced Spine and Pain Care, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

040627 Issued in CT

Legal business name

ADVANCED SPINE AND PAIN CARE, LLC

Practice address

970 Summer Street
Second Floor
Stamford, CT 06905-5518

Phone

(203) 324-2128

Fax

(203) 588-1705

NPI assigned

Mar 16, 2008

Last updated

Mar 12, 2011By 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

Dr. Yuting Xiong, M.D., PH.D.NPI 1447209895

Title

President and Medical Director

Phone

(203) 324-2128

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yuting Xiong, M.D., PH.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Stamford, CT
  • NPI 1447209895
  Medicare reassignment NPD Authorized official
• John Michael Greeley

  • Family Medicine Physician
  • Waterford, CT
  • NPI 1083621320
  NPD (past)
• Karel M Koenig, APRN

  • Family Medicine Physician
  • New Haven, CT
  • NPI 1801903828
  NPD (past)
• Albert Anthony Luongo, MS,PA-C

  • Medical Physician Assistant
  • Stamford, CT
  • NPI 1427142058
  NPD (past)
• Jennifer Parsons, M.D.

  • Family Medicine Physician
  • Stamford, CT
  • NPI 1568627974
  NPD (past)
• Anne Fuller Rutherford, APRN

  • Family Medicine Physician
  • Westport, CT
  • NPI 1346357340
  NPD (past)
• Emoliere Chanel Williams, MD

  • Family Medicine Physician
  • Stamford, CT
  • NPI 1700041118
  NPD (past)
• Henry Yoon, M.D.

  • Family Medicine Physician
  • Stamford, CT
  • NPI 1790786259
  NPD (past)
• Clarke T Latimer, MD

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1700041290
  NPD (past)

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

{
    "created_epoch": "1205625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299888000000",
    "number": "1275704413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 SUMMER STREET",
            "address_2": "SECOND FLOOR",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055518",
            "telephone_number": "203-324-2128",
            "fax_number": "203-588-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 SUMMER STREET",
            "address_2": "SECOND FLOOR",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055518",
            "telephone_number": "203-324-2128",
            "fax_number": "203-588-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SPINE AND PAIN CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-16",
        "last_updated": "2011-03-12",
        "status": "A",
        "authorized_official_last_name": "XIONG",
        "authorized_official_first_name": "YUTING",
        "authorized_official_title_or_position": "PRESIDENT AND MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "203-324-2128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CT",
            "license": "040627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Advanced Physical Therapy Center of Stamford, LLC
• Advanced Physical Therapy Center, Inc.
• Advanced Therapy and Performance LLC
• Advanced Wellness and Musculoskeletal Pain Clinic PLLC (Advanced Wellness and Musculoskeletal Pain Clinic)
• Kamilla Agababayeva
• Raghav Aggarwal, MD
• Cynthia Elizabeth Aguilar Wood, LCSW

• Physical Medicine & Rehabilitation Physician in Stamford, CT
• Providers in Stamford, CT by specialty
• Physical Medicine & Rehabilitation Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.