Center for Interventional Pain Mangement PC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

0101233817 Issued in VA

Legal business name

CENTER FOR INTERVENTIONAL PAIN MANGEMENT PC

Practice address

6164 Fuller CT
Alexandria, VA 22310-2540

Phone

(571) 257-9426

Fax

(571) 257-9839

NPI assigned

Feb 24, 2009

Organization subpart

No

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

Authorized official

Name

Talha Siddiqui, M.D

Title

Director

Phone

(804) 832-3424

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1740420231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6164 FULLER CT",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223102540",
            "telephone_number": "571-257-9426",
            "fax_number": "571-257-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6164 FULLER CT",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223102540",
            "telephone_number": "571-257-9426",
            "fax_number": "571-257-9839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR INTERVENTIONAL PAIN MANGEMENT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "TALHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "804-832-3424",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "VA",
            "license": "0101233817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evie K Cavros, M.D.
• Luis Felipe Cebas
• Rebecca Cebulski
• Amy L Cecil
• Donald Cederlund, RN, ATC
• Center for Vein Restoration MD LLC
• Center for Vein Restoration MD LLC
• Maryann Centra, O.T.R./L
• Central Base Home Healthcare, LLC
• Centre Home Care LLC

• Interventional Pain Medicine Physician in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Interventional Pain Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.