NPIMap

Organization Active NPI

Minimally Invasive Pain Institute, PLLC

  • Interventional Pain Medicine Physician
  • Ashburn, VA
National Provider Identifier
1396074704
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
0101058239 Issued in VA
Legal business name
MINIMALLY INVASIVE PAIN INSTITUTE, PLLC
Practice address
45189 Research PL
Suite 140
Ashburn, VA 20147-2694
Phone
(703) 894-2224
Fax
(703) 997-2566
NPI assigned
Dec 14, 2009
Last updated
May 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Authorized official

Name
Mr. Zain Haider, MS
Title
Director
Phone
(315) 798-8737

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 0101058239 VA
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X MD036385 DC
Pain Medicine Physician 208VP0000X 0101058239 VA
Pain Medicine Physician 208VP0000X MD036385 DC
Interventional Pain Medicine Physician 208VP0014X MD036385 DC
Interventional Pain Medicine Physician 208VP0014X 0101058239 VA Primary

Addresses

Primary practice location

45189 Research PL
Suite 140
Ashburn, VA 20147-2694

Mailing address

1508 Genesee St
Utica, NY 13502-5178
Phone (315) 733-1384

National Provider Directory

National Provider Directory

Locations

1508 Genesee St
Utica, NY 13502
Phone (315) 798-8737

2208 Genesee St
Utica, NY 13502
Phone (315) 798-8737

45189 Research Pl
Ste 140
Ashburn, VA 20147
Phone (703) 787-7638

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1396074704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025178",
            "telephone_number": "315-733-1384",
            "fax_number": "315-797-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45189 RESEARCH PL",
            "address_2": "SUITE 140",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201472694",
            "telephone_number": "703-894-2224",
            "fax_number": "703-997-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINIMALLY INVASIVE PAIN INSTITUTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "HAIDER",
        "authorized_official_first_name": "ZAIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "315-798-8737",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "VA",
            "license": "0101058239",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "DC",
            "license": "MD036385",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "VA",
            "license": "0101058239",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "DC",
            "license": "MD036385",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "DC",
            "license": "MD036385",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "VA",
            "license": "0101058239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.