Advanced Spine and Pain, LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

ADVANCED SPINE AND PAIN, LLC

Practice address

400 Cresson Blvd Ste 110
Phoenixville, PA 19460-6144

Phone

(888) 985-2727

NPI assigned

Jan 25, 2023

Last updated

Feb 6, 2023By 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

Damean William FreasNPI 1699837260

Title

Ceo

Phone

(888) 985-2727

Specialties & licenses 2

Addresses

Locations

Practitioners 54

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.

• Damean William Freas, D.O.

  • Interventional Pain Medicine Physician
  • Cumberland, MD
  • NPI 1699837260
  NPD (past) Authorized official
• Jamie Green, FNP-C

  • Family Nurse Practitioner
  • Havertown, PA
  • NPI 1033658828
  NPD
• Addison Haskins, CRNP

  • Nurse Practitioner
  • Philadelphia, PA
  • NPI 1114429107
  NPD
• Shailen Jalali, MD

  • Interventional Pain Medicine Physician
  • Havertown, PA
  • NPI 1427021351
  NPD
• Kristen Kitchen, PA-C

  • Physician Assistant
  • Philadelphia, PA
  • NPI 1285236117
  NPD
• Eileen Rose Manabat, M.D.

  • Anesthesiology Physician
  • Philadelphia, PA
  • NPI 1548380124
  NPD
• Peter G Pryzbylkowski, MD

  • Pain Medicine Physician
  • Philadelphia, PA
  • NPI 1174751929
  NPD
• Miteswar Purewal, MD

  • Pain Medicine (Anesthesiology) Physician
  • Havertown, PA
  • NPI 1750320461
  NPD
• Uplekh Purewal, MD

  • Pain Medicine Physician
  • Philadelphia, PA
  • NPI 1548203839
  NPD
• Robert Harris Salvage, MD

  • Pain Medicine (Anesthesiology) Physician
  • Wyomissing, PA
  • NPI 1386671436
  NPD
• Rachel Stein, PA-C

  • Physician Assistant
  • Philadelphia, PA
  • NPI 1386100659
  NPD
• Lindsay Trebing, PA-C

  • Physician Assistant
  • Havertown, PA
  • NPI 1780123158
  NPD

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1740996586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 DEFENSE HWY STE 205",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017096",
            "telephone_number": "888-985-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CRESSON BLVD STE 110",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194606144",
            "telephone_number": "888-985-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SPINE AND PAIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "FREAS",
        "authorized_official_first_name": "DAMEAN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-985-2727"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faizan Abbas, MD,MBBS,BSC
• Phil Abbott, PTA
• Mutayam Abuqudairi, MD
• Acme Markets Inc (Acme Pharmacy #0721)
• Carol F Actor, M.D.
• Angeli Agarwal II, DMD
• Aging Your Way, Inc.
• Aging Your Way, Inc.
• Imran Jamil Ahmed, DC
• Roy Arslan Ahmed

• Pain Medicine Physician in Phoenixville, PA
• Providers in Phoenixville, PA by specialty
• Pain Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.