Mja Healthcare PC

Primary specialty

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

License

MD424898 Issued in PA

Legal business name

MJA HEALTHCARE PC

Practice address

391 E Brown St
East Stroudsburg, PA 18301-9101

Phone

(570) 872-9800

Fax

(570) 872-9888

NPI assigned

Dec 13, 2010

Last updated

Oct 2, 2014By 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. Mikhail J Artamonov, M.DNPI 1033173471

Title

President

Phone

(570) 872-9800

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Mikhail J Artamonov, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • East Stroudsburg, PA
  • NPI 1033173471
  Authorized official Same address or phone
• Faiza Qureshi, PA

  • Physician Assistant
  • East Stroudsburg, PA
  • NPI 1437586484
  NPD (past)

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1790088771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 E BROWN ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019101",
            "telephone_number": "570-872-9800",
            "fax_number": "570-872-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 E BROWN ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019101",
            "telephone_number": "570-872-9800",
            "fax_number": "570-872-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJA HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "ARTAMONOV",
        "authorized_official_first_name": "MIKHAIL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-872-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "PA",
            "license": "MD424898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Millmark Health Inc.
• Carin Minchew, PA-C
• Stephanie Nicole Mitchell
• Amy Helen Miterko
• Ashlynn Mixa
• Mja Healthcare, PC
• Jenifer Nicole Moceri, DO
• George Mogaka
• Kaitlyn Mohl
• Monroe County Family Health Center

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.