Interventional and Alternative Spine and Wellness, LLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

INTERVENTIONAL AND ALTERNATIVE SPINE AND WELLNESS, LLC

Practice address

3630 Wheeler Rd
Augusta, GA 30909-6561

Phone

(706) 922-0419

Fax

(706) 364-0036

NPI assigned

Sep 3, 2020

Last updated

Sep 8, 2020By 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. David Baker, DONPI 1811015845

Title

Owner

Phone

(248) 766-9257

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Interoperability endpoints

• Direct secure messaging: david.baker@iaswaugusta.com

Practitioners 1

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.

• David L Baker, DO

  • Physical Medicine & Rehabilitation Physician
  • Augusta, GA
  • NPI 1811015845
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1700490091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 WHEELER RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096561",
            "telephone_number": "706-922-0419",
            "fax_number": "706-364-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 WHEELER RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096561",
            "telephone_number": "706-922-0419",
            "fax_number": "706-364-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL AND ALTERNATIVE SPINE AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-766-9257",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "David.Baker@iaswaugusta.com",
            "affiliation": "N",
            "address_1": "3630 Wheeler Rd",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309096561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Intensive Care Consortium Inc
• Intercare Medical, Corp
• Internal Medicine & Endocrine Associates of Augusta,P.C.
• International Neurospinal Institute
• Interpoint Health
• Interventional Spine and Pain Management Center, PC (Alliance Spine and Pain Centers)
• Interventional Spine and Pain Management Center, PC (Alliance Spine and Pain Centers)
• Omar Iqbal, MD
• Iris Cove Personal Care Home
• Iris Cove Personal Care Home LLC

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.