Atlantic Anesthesia and Pain Management Services, LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

037028 Issued in CT

Legal business name

ATLANTIC ANESTHESIA AND PAIN MANAGEMENT SERVICES, LLC

Practice address

4 Dearfield Dr Ste 105
Dearfield Medical Building
Greenwich, CT 06831-5351

Phone

(203) 661-6699

NPI assigned

Jan 20, 2016

Last updated

Jan 20, 2016By 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. Dmitry Mironov, MD

Title

Member

Phone

(203) 803-8828

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1740647932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 COTSWOOD RD",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068304713",
            "telephone_number": "203-803-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 DEARFIELD DR STE 105",
            "address_2": "DEARFIELD MEDICAL BUILDING",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315351",
            "telephone_number": "203-661-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC ANESTHESIA AND PAIN MANAGEMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "MIRONOV",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-803-8828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "CT",
            "license": "037028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Clinic/Center in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Pain Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.