Southbridge Interventional Pain,Inc

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

SOUTHBRIDGE INTERVENTIONAL PAIN,INC

Doing business as

southbridge interventional pain ,inc

Practice address

48 Main St Ste 6
Sturbridge, MA 01566-1284

Phone

(508) 347-9111

NPI assigned

Mar 4, 2011

Last updated

May 9, 2023By 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. Ashraf Farid, MDNPI 1689751620

Title

Owner

Phone

(508) 333-0449

Specialties & licenses 2

Addresses

Other names 1

• southbridge interventional pain ,inc Doing business as

Medicare fee-for-service enrollment

Enrolled in CT, MA2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JJGGCA

Practitioners 5

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.

• Ashraf Farid, MD

  • Pain Medicine Physician
  • Sturbridge, MA
  • NPI 1689751620

  CT

  Medicare reassignment NPD Authorized official
• Ahmed M. Atia, MD

  • Pain Medicine (Anesthesiology) Physician
  • Stoughton, MA
  • NPI 1508827593
  Medicare reassignment NPD
• Terri-Lyn Baron

  • Gerontology Nurse Practitioner
  • Worcester, MA
  • NPI 1538422555
  Medicare reassignment
• Martha G Charley, FNP

  • Family Nurse Practitioner
  • Sturbridge, MA
  • NPI 1609368919
  NPD (past)
• Theverthundiyil K Thomas, MD

  • Gastroenterology Physician
  • Ware, MA
  • NPI 1831169150
  NPD (past)

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

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1396043071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 426",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015500426",
            "telephone_number": "508-347-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 MAIN ST STE 6",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015661284",
            "telephone_number": "508-347-9111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Quinebaug Ave",
            "address_purpose": "LOCATION",
            "city": "Putnam",
            "state": "CT",
            "postal_code": "062601943",
            "country_code": "US",
            "telephone_number": "508-333-0449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHBRIDGE INTERVENTIONAL PAIN,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-04",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "FARID",
        "authorized_official_first_name": "ASHRAF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-333-0449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MA",
            "license": "212790",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "southbridge interventional pain ,inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Sandstrom, RN
• James Lawrence Sherman
• Sayuri Singleton
• Adriana Sodano, DPT
• Southbridge Chiropractic Health Clinic (New England Chiropractic: Southbridge)
• Southern Worcester County Arc Inc (Sturbridge Day Habilitation)
• Speech Language Nook Therapy Center
• Emily Elizabeth St. Thomas, SLP
• Monique Ashley St.Pierre, PHARMD
• Brianna Hope Stanley

• Pain Medicine Physician in Sturbridge, MA
• Providers in Sturbridge, MA by specialty
• Pain Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.