DR. MIKHAIL J ARTAMONOV (NPI# 1033173471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033173471 |
| Entity Type | Individual |
| Full Name | DR. MIKHAIL J ARTAMONOV |
| Credential | M.D. |
| Practice Address |
391 E Brown St East Stroudsburg PA 18301-9101 |
| Practice Telephone | 5708729800 |
| Practice Fax Number | 5708729888 |
| Mailing Telephone | 5708729800 |
| Mailing Fax Number | 5708729888 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2020-05-12 |
| NPI Deactivation Date | 09/13/2019 |
| NPI Reactivation Date | 2019-09-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
MD484898 | PA | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | MD484898 | PA | Allopathic & Osteopathic Physicians |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
MD484898 | PA | Allopathic & Osteopathic Physicians |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
250059 | NY | Allopathic & Osteopathic Physicians |
| N | 2081P0301X |
Physical Medicine & Rehabilitation Specialization: Brain Injury Medicine |
MD484898 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03079009 | 05 | |
| PA | 1011567330001 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 391 E Brown St, East Stroudsburg, PA 183019101 | 5708729800 | 5708729888 |
| Street Address |
391 E BROWN ST |
| City | EAST STROUDSBURG |
| State | PA |
| Zip Code | 18301-9101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710362694 | Joel Paradis | Physician Assistant | 391 E Brown St, East Stroudsburg, PA 18301-9101 | 2015-07-21 |
| 1659752715 | Joel Paradis | Anesthesiology | 391 E Brown St, East Stroudsburg, PA 18301-9101 | 2015-06-15 |
| 1255724696 | Neal Houston, Phd | Behavioral Analyst | 391 E Brown St, East Stroudsburg, PA 18301-9101 | 2015-03-10 |
| 1114357829 | Mja Healthcare, PC | Specialist | 391 E Brown St, East Stroudsburg, PA 18301-9101 | 2013-11-15 |
| 1790088771 | Mja Healthcare PC | Physical Medicine & Rehabilitation | 391 E Brown St, East Stroudsburg, PA 18301-9101 | 2010-12-13 |
| 1245311067 | Pocono Surgical Associates | Specialist | 391 E Brown St, East Stroudsburg, PA 18301-9101 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405030 | Gabrielle Nicole Hahn | Specialist/Technologist | 213 Smith Street, East Stroudsburg, PA 18301 | 2020-07-23 |
| 1730601246 | Eliezer Candelario | Case Manager/Care Coordinator | 255 Abeel Rd, East Stroudsburg, PA 18301 | 2017-07-17 |
| 1154843084 | Oludamilola Olatunde Oke | Homemaker | 170 North Courtland Street, East Stroudsburg, PA 18301 | 2017-07-12 |
| 1205369451 | My Lab Choice, Inc | Clinical Medical Laboratory | 391 East Brown Street, Lower Level, East Stroudsburg, PA 18301 | 2017-04-05 |
| 1538610498 | Northland Hearing Centers, Inc. | Hearing Aid Equipment | 400 Plaza Ct Ste B, East Stroudsburg, PA 18301 | 2016-10-17 |
| 1962863423 | Ryan Mackiewicz | Student in an Organized Health Care Education/Training Program | 68 Brown St, East Stroudsburg, PA 18301 | 2016-03-11 |
| 1437524139 | Derek Oliver | Massage Therapist | 146 Azalea Drive, East Stroudsburg, PA 18301 | 2015-12-07 |
| 1093182529 | Bathsheba Etheridge | Contractor | 128 Pasquin Drive, East Stroudsburg, PA 18301 | 2015-09-01 |
| 1538581533 | Care Plus Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | 114 Columbia Dr Ste 10, East Stroudsburg, PA 18301 | 2014-01-09 |
| 1457789117 | Premier Pain Spine and Sports Medicine PC | Specialist | 391 East Brown Street, East Stroudsburg, PA 18301 | 2013-10-16 |
| Find all providers in zip 18301 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790088771 | Mja Healthcare PC | Physical Medicine & Rehabilitation | 391 E Brown St, East Stroudsburg, PA 18301-9101 | 2010-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902219702 | Kyle Matthew Weiss | Physical Medicine & Rehabilitation | 501 Cetronia Rd Ste 125, Allentown, PA 18104-9569 | 2014-06-09 |
| 1558771089 | Christian Boris Acharte | Physical Medicine & Rehabilitation | 700 Horizon Circle Ste 206, Chalfont, PA 18914-3967 | 2014-05-06 |
| 1649618349 | David Stephen Mills | Physical Medicine & Rehabilitation | 8775 Norwin Ave Ste 108, North Huntingdon, PA 15642 | 2013-06-05 |
| 1306184858 | Lighthouse Medical, LLC | Physical Medicine & Rehabilitation | 301 E. Pleasant Valley Blvd, Altoona, PA 16602 | 2013-01-17 |
| 1710243787 | Alcinto Steven Guirand | Physical Medicine & Rehabilitation | 1450 Scalp Ave Ste 2100, Johnstown, PA 15904-3374 | 2012-04-04 |
| 1578848651 | Performance Spine and Sports Medicine of Newtown, LLC | Physical Medicine & Rehabilitation | 828 Newtown Yardley Road, A, Newtown, PA 18940 | 2011-10-20 |
| 1588974588 | Greater Philadelphia Pain Management Center PC | Physical Medicine & Rehabilitation | 104 Bailey Dr, North Wales, PA 19454-4526 | 2010-10-12 |
| 1245545813 | Maureen Murphy Ginsburg | Physical Medicine & Rehabilitation | 551 W Mahoning St, Punxsutawney, PA 15767 | 2010-08-08 |
| 1205071297 | Bethia A. Cawley | Physical Medicine & Rehabilitation | 2804 Southampton Rd, Philadelphia, PA 19154-1207 | 2008-12-05 |
| 1891953188 | Paris Hughes | Physical Medicine & Rehabilitation | 2447 N 54th St, Philadelphia, PA 19131-2423 | 2008-05-23 |
| Find all providers with the same taxonomy | ||||
| City | EAST STROUDSBURG |
| Zip Code | 18301 |
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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.