SPINE AND PAIN INSTITUTE AT MIDSTATE LLC (NPI# 1033488119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033488119 |
| Entity Type | Organization |
| Organization Name | SPINE AND PAIN INSTITUTE AT MIDSTATE LLC |
| Practice Address |
435 Lewis Ave Meriden CT 06451-2101 |
| Mailing Address |
Po Box 443 Farmington CT 06034-0443 |
| Practice Telephone | 8606962843 |
| Practice Fax Number | 8606962840 |
| Mailing Telephone | 8606962843 |
| Mailing Fax Number | 8606962840 |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2011-12-20 |
| Authorized Official Name | JONATHAN KOST (OWNER) |
| Authorized Official Telephone | 8606962843 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
435 LEWIS AVE |
| City | MERIDEN |
| State | CT |
| Zip Code | 06451-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972595874 | Dean John Mariano | Anesthesiology | 435 Lewis Ave, Suite 101, Meriden, CT 06451-2101 | 2005-08-17 |
| 1700405149 | Megan Elizabeth Ganzenmuller | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451-2101 | 2020-04-15 |
| 1588290613 | Isabel Nodiff | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451-2101 | 2020-03-20 |
| 1396394722 | Barbara J Spremullo | Nurse Practitioner | 435 Lewis Ave, Meriden, CT 06451-2101 | 2019-09-09 |
| 1538715883 | Matthew Decaprio | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451-2101 | 2019-08-13 |
| 1831741347 | Kelly Ann Meenan | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451-2101 | 2019-07-15 |
| 1417414038 | Max Pianka | Nurse Practitioner | 435 Lewis Ave, Meriden, CT 06451-2101 | 2019-03-01 |
| 1114482882 | Nems Pllc | Emergency Medicine | 435 Lewis Ave, Meriden, CT 06451-2101 | 2019-02-06 |
| 1023597028 | Anthony Joseph Boguslawski | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451-2101 | 2018-08-09 |
| 1285111443 | Melissa Alvarez | Registered Nurse | 435 Lewis Ave, Meriden, CT 06451-2101 | 2018-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225490055 | Great Hills LLC | Pharmacy | 152 Colony St Unit A, Meriden, CT 06451 | 2016-03-22 |
| 1659695344 | Dr. Bertolli Od & Associates LLC | Optometrist | 470 Lewis Avenue, C/o Sears Optical, Meriden, CT 06451 | 2010-03-24 |
| 1205086733 | Michelle Lavallee Dagostine | Psychiatry & Neurology | 455 Lewis Ave., Suite 221, Meriden, CT 06451 | 2008-09-20 |
| 1538212857 | Meriden Surgical Supply Inc | Prosthetic/Orthotic Supplier | 170 West Main Street, Meriden, CT 06451 | 2007-01-19 |
| 1922036920 | Lisa M Marvin Smith | Nurse Practitioner | 26 Womens Way, Meriden, CT 06451 | 2006-06-29 |
| 1235599333 | Mcm Dental, LLC | Dentist | 74 Main Street, Lakewood, CT 06451 | 2016-03-02 |
| 1790035186 | Jona Lesage Maloney | Music Therapist | 122 Windsor Ave, 2nd Floor, Meriden, CT 06451 | 2012-09-13 |
| 1144522160 | Community Renewal Team Inc. | Case Management | 675 Tower Ave, Hartford, CT 06451 | 2010-11-23 |
| 1760681639 | Mark Steven Schaner | Internal Medicine | 435 Lewis Avenue, Meriden, CT 06451 | 2007-07-12 |
| 1043371115 | Eugene Robert Bertolli | Optometrist | 470 Lewis Ave, C/o Sears Optical, Meriden, CT 06451 | 2006-12-13 |
| Find all providers in zip 06451 | ||||
| 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 |
|---|---|---|---|---|
| 1205081890 | Jonathan Kost Md LLC | Pain Medicine | 435 Lewis Ave, Midstate Medical Center, Meriden, CT 06451-2101 | 2008-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256378 | Pain & Spine Specialists of Connecticut, LLC | Pain Medicine | 75 Kings Highway Cutoff Ste 3a, Fairfield, CT 06824-5340 | 2020-08-20 |
| 1770109910 | Rejuvenate Joint and Spine Pllc | Pain Medicine | 75 Tresser Blvd Unit 429, Stamford, CT 06901-3360 | 2020-06-23 |
| 1275804189 | Robinson Pa, LLC | Pain Medicine | 85 Barnes Rd Ste 201, Wallingford, CT 06492-1832 | 2012-01-24 |
| 1245472604 | Connecticut Regional Pain Specialists,llc | Pain Medicine | 2447 Whitney Ave Ste 2b, Hamden, CT 06518-3211 | 2009-04-01 |
| 1467588020 | Pain & Spine Specialists of Connecticut, LLC | Pain Medicine | 67 Sandpit Rd, Suite 308, Danbury, CT 06810-4032 | 2007-02-26 |
| 1548322878 | Joe Lee | Pain Medicine | 80 Brewster Rd, Ct Spine and Pain, Bristol, CT 06010 | 2006-12-14 |
| 1235163536 | Eugene Lucier | Pain Medicine | 142 Hazard Ave, Enfield, CT 06082-4520 | 2006-07-10 |
| 1841257185 | Eric D Grahling | Pain Medicine | 440 New Britain Ave, Comprehensive Pain Management of Central Ct, LLC, Plainville, CT 06062 | 2006-04-28 |
| 1881674398 | Yasser Shaheen | Pain Medicine | 677 S Main St, Cheshire, CT 06410-3158 | 2006-01-19 |
| 1477197671 | Spine Center of Ct, Pllc | Pain Medicine | 67 Sand Pit Rd Ste 308, Danbury, CT 06810-4032 | 2019-10-30 |
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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.