Center for Interventional Pain Spine LLC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Milford, DE
NPI 1710468129 · NPPES record last updated Jul 3, 2023
Key facts
- NPI
- 1710468129
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- CENTER FOR INTERVENTIONAL PAIN SPINE LLC
- Practice address
- 1197 Airport Rd Ste 5
Milford, DE 19963-6418 - Phone
- (844) 365-7246
- Fax
- (844) 516-0080
- NPI assigned
- Aug 23, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- CENTER FOR INTERVENTIONAL PAIN SPINE LLC
Authorized official
- Name
- Stefanie Paulus
- Title
- Practice Manager
- Phone
- (844) 365-7246
Other NPIs with the same Medicare PAC ID 7
Corporate family (same tax ID) 19
Practitioners 24
-
Thomas J. Byrnes IV, FNP
-
Terence F Duffy, MD
-
Dina Henry, MSN, APRN, FNP-C
-
Manny Lai, DO
-
Alexander Lee Matz, M.D.
-
Daniel M Nasr, M.D.
-
Dominic Palmer, PA-C
-
Jessica Sebastian, PA-C
-
Omar Soliman, PA-C
-
Chee Houe Woo, MD
-
Michelle Lee Caporaletti, D.O.
-
Meaghan Irene Descher, CRNP, MSN, CCCN
-
Madalyn Marie Dibona, PA-C
-
Jenna Harkins, NP
-
Melody Hu, MD
-
Philip S Kim, MD
-
Stephen McCann, APRN
-
Arnee Miles, PA-C
-
Venkatesh Sundararajan, M.D.
-
Justin Seth Winas, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201229002202 | DE | DME Supplier - Physician - Interventional Pain Management | 6507040078 | Practice locations: Milford, DE |
National Provider Directory
- Tax ID family
- Center for Interventional Pain Spine
- Part of
- Center for Interventional Pain Spine
Locations
1197 Airport Rd
Ste 300
Milford, DE 19963
1197 Airport Rd
Fl Second
Milford, DE 19963
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
1197 Airport Rd Ste 5
Milford, DE 19963-6418
Mailing address
291 Carter Dr Ste a
Middletown, DE 19709-5845
Phone (844) 365-7246
Other providers in Milford, DE
- Jill A Carroll
- Valarie Carter
- Rebecca Ann Caswell-Wade
- Center for Accidents and Injuries
- Center for Interventional Pain Spine LLC
- Central Delaware Gastroenterology Associates PA
- Cheryl L Chambers
- Shahryar Latif Chaudhry
- Chayil Healthcare LLC
- Daniel E Chelen
All providers in Milford, DE · Durable Medical Equipment & Medical Supplies in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.