DR. YURI KHIBKIN (NPI# 1023177664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023177664 |
| Entity Type | Individual |
| Full Name | DR. YURI KHIBKIN |
| Practice Address |
10 Hospital Dr Ste 103 Holyoke MA 01040-6603 |
| Practice Telephone | 1345354933 |
| Practice Fax Number | 4135354934 |
| Mailing Telephone | 1345354933 |
| Mailing Fax Number | 4135354934 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2019-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 27939 | MA | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | 01077041A | IN | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | 235329 | NY | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
279391 | MA | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
01077041A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201366750 | 05 | |
| NY | 02670157 | 05 |
| Street Address |
10 HOSPITAL DR STE 103 |
| City | HOLYOKE |
| State | MA |
| Zip Code | 01040-6603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834557 | Natalie Stucenski | Nurse Practitioner | 10 Hospital Dr Ste 103, Holyoke, MA 01040-6603 | 2020-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255945325 | Holyoke Care Center, LLC | Skilled Nursing Facility | Holyoke Care Center, LLC, 35 Holy Family Road, Holyoke, MA 01040 | 2020-09-04 |
| 1225646904 | Jasmine Glover | Counselor | 476 Appleton St. Suite 5, Holyoke, MA 01040 | 2020-07-17 |
| 1932662319 | Damaris Santingo Martinez | Registered Nurse | 46 Magnolia Ave, Holyoke, MA 01040 | 2019-04-11 |
| 1104302371 | Cheryl Ann Lauben | Counselor | 476 Appleton Street, Suite 2, Holyoke, MA 01040 | 2018-07-11 |
| 1740704741 | Miranda Lynn Fogg | Behavior Technician | 244 Westfield Rd, Holyoke, MA 01040 | 2017-08-01 |
| 1770020018 | Total Wellness Centers, LLC | Clinical Medical Laboratory | 59 Bobala Rd, Holyoke, MA 01040 | 2017-01-25 |
| 1184097768 | Chi Wan Wong | Physical Therapy Assistant | 110 Cherry Street, Holyoke, MA 01040 | 2015-11-04 |
| 1841666724 | Danielle Moroney | Counselor | River Valley Counseling Center Mental Health Service, 303 Beech St, Holyoke, MA 01040 | 2015-08-14 |
| 1285019638 | Ashley Papineau | Social Worker | 9 Faille Ave, Apt 3, Holyoke, MA 01040 | 2015-07-28 |
| 1205216967 | Vanessa Vazquez | Counselor | 1233 Main St., Holyoke, MA 01040 | 2015-06-08 |
| Find all providers in zip 01040 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336635606 | Orthopedic Medicine of Boston Pllc | Pain Medicine | 300 Congress St Ste 304, Quincy, MA 02169-0907 | 2018-07-10 |
| 1225335417 | Impar Corporation | Pain Medicine | 178 Westerly Rd, Plymouth, MA 02360-4535 | 2011-02-24 |
| 1609010008 | James R Gorman | Pain Medicine | 888 Worcester St Ste 95, Wellesley, MA 02482-3737 | 2009-04-29 |
| 1831189364 | Omar Hammam El Abd | Pain Medicine | 378 Washington St, Wellesley, MA 02481-6207 | 2005-10-26 |
| 1568972958 | North Shore Pain Center LLC | Pain Medicine | 900 Cummings Ctr Ste 221u, Beverly, MA 01915-6183 | 2017-10-11 |
| 1326574872 | North Shore Pain Treatment LLC | Pain Medicine | 900 Cummings Ctr, Suite 221u, Beverly, MA 01915-6198 | 2017-05-03 |
| 1942678560 | Orthopedics New England, Inc | Pain Medicine | 313 Speen St, Natick, MA 01760-1538 | 2015-09-14 |
| 1750779328 | Christopher James Britt | Pain Medicine | 203 Turnpike St, G1, North Andover, MA 01845-5042 | 2015-01-05 |
| 1174928543 | Seacoast Pain Center, LLC | Pain Medicine | 21 Highland Ave, Suite 16, Newburyport, MA 01950-3872 | 2014-10-28 |
| 1144643370 | North Shore Pain Care LLC | Pain Medicine | 800 W Cummings Park, Suite 1200, Woburn, MA 01801-6372 | 2014-01-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.