Worcester Pain Management PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

WORCESTER PAIN MANAGEMENT PLLC

Practice address

116 Belmont St RM 34
Worcester, MA 01605

Phone

(508) 904-9026

NPI assigned

Jun 4, 2018

Last updated

Jun 28, 2018By 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

Demian G Mousad, MDNPI 1336106574

Title

Owner

Phone

(508) 904-9026

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17964/brand/1/csg/1/fhir/r4

Practitioners 2

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.

• Demian G Mousad, M.D

  • Interventional Pain Medicine Physician
  • Worcester, MA
  • NPI 1336106574

  Physical Medicine & Rehabilitation

  Medicare reassignment NPD Authorized official
• Terri-Lyn Baron

  • Gerontology Nurse Practitioner
  • Worcester, MA
  • NPI 1538422555
  Medicare reassignment NPD

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530144000000",
    "number": "1336631456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CARLISLE TER",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017602060",
            "telephone_number": "508-904-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 BELMONT ST RM 34",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01605",
            "telephone_number": "508-904-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORCESTER PAIN MANAGEMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-28",
        "status": "A",
        "authorized_official_last_name": "MOUSAD",
        "authorized_official_first_name": "DEMIAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-904-9026",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Worcester Ophthalmology Associates, Inc
• Worcester Ophthalmology Associates, Inc
• Worcester Oral Surgery and Implant Centers PLLC
• Worcester Oral Surgery, P.C.
• Worcester Orthodontics, PC (Super Braces)
• Worcester Parson SNF Operations, LLC (Parsons Hill Rehabilitation & Health Care Center)
• Worcester Pediatric Dental Group LLC (Worcester Kids' Dentist)
• Worcester Pediatrics PC
• Worcester Pharmacy LLC (Boulevard Pharmaceutical Compounding Center)
• Worcester Physical Therapy Services, Inc.

• Interventional Pain Medicine Physician in Worcester, MA
• Providers in Worcester, MA by specialty
• Interventional Pain Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.