Interventional Spine Pain Consultants, PA

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

INTERVENTIONAL SPINE PAIN CONSULTANTS, PA

Practice address

774 Christiana Rd
Ste 111
Newark, DE 19713-4236

Phone

(302) 478-7001

Fax

(302) 478-5101

NPI assigned

Jul 12, 2006

Last updated

Apr 5, 2017By 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

Peter M Witherell, MDNPI 1598790099

Title

President

Phone

(302) 478-7001

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Practitioners 6

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.

• Peter M Witherell, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Wilmington, DE
  • NPI 1598790099
  Medicare reassignment Care Compare group NPD Authorized official
• James English Downing, MD

  • Pain Medicine (Anesthesiology) Physician
  • Newark, DE
  • NPI 1477579498
  Medicare reassignment Care Compare group NPD
• Patricia D Gibbons, ANP

  • Nurse Practitioner
  • Wilmington, DE
  • NPI 1265458285
  Medicare reassignment Care Compare group NPD
• Laura Tumiski, PA-C

  • Physician Assistant
  • Newark, DE
  • NPI 1306737176
  Medicare reassignment Care Compare group NPD
• Caitlin A Holmes, PA-C

  • Medical Physician Assistant
  • Havre de Grace, MD
  • NPI 1285906735

  DE

  Medicare reassignment Care Compare group
• Sonia E Palermo, NP

  • Nurse Practitioner
  • Wilmington, DE
  • NPI 1578700472
  Medicare reassignment NPD

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1699700195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172010947",
            "telephone_number": "717-263-5562",
            "fax_number": "717-263-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 CHRISTIANA RD",
            "address_2": "STE 111",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134236",
            "telephone_number": "302-478-7001",
            "fax_number": "302-478-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL SPINE PAIN CONSULTANTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "WITHERELL",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-478-7001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200044870",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Insights Behavioral Health
• Tiffany J Intano, FNP-C
• Integrated Psychological & Behavioral Health Services, LLC
• Integrative Psychology Group LLC
• Integrity Sport & Spine Chiropractic Center, LLC
• Irena O. Stolar, M.D., P.a.
• Irene C. Szeto, MD.
• Isaias Irgau, MD
• Rebecca Irvin
• Lauren Isaacs

• Pain Medicine Physician in Newark, DE
• Providers in Newark, DE by specialty
• Pain Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.