RESTORATIVE PAIN CARE LLC (NPI# 1033776257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033776257 |
| Entity Type | Organization |
| Organization Name | RESTORATIVE PAIN CARE LLC |
| Practice Address |
409 Portland Dr Broomall PA 19008-4120 |
| Mailing Address |
1831 S Racine Ave Apt 202 Chicago IL 60608-5378 |
| Practice Telephone | 6106379696 |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-05-22 |
| Authorized Official Name | DR. NATHAN MALTEZOS (OWNER) |
| Authorized Official Telephone | 5186505687 |
| Authorized Official Credential | DO |
| 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 |
| Other Name | Type Code |
|---|---|
| Restorative Pain Care | Doing Business As Name - Organization |
| Street Address |
409 PORTLAND DR |
| City | BROOMALL |
| State | PA |
| Zip Code | 19008-4120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275098964 | Ashley Szewczuk | Occupational Therapy Assistant | 50 Malin Rd., Broomall, PA 19008 | 2019-02-06 |
| 1134647316 | Bernadette Jacobs | Registered Nurse | Accucare Home Nursing 1999 Sproul Rd, # 1, Broomall, PA 19008 | 2017-09-07 |
| 1447780549 | Laura Ann Jamison | Physical Therapy Assistant | 50 North Malin Road, Broomall, PA 19008 | 2017-06-13 |
| 1528596608 | Lauren S. Burns | Occupational Therapist | 51 N Malin Rd., Broomall, PA 19008 | 2017-06-01 |
| 1558893024 | Marc Belitsky D.c., .pc. | Clinic/Center | 2633 West Chester Pike, Broomall, PA 19008 | 2017-04-03 |
| 1053773390 | Helen Richman | Pharmacist | 567 Sproul Road, Broomall, PA 19008 | 2016-03-25 |
| 1487028007 | Jenelle Thomas | Social Worker | 85 N. Malin Road, Broomall, PA 19008 | 2015-11-19 |
| 1649654740 | Akeesha M Washington | Counselor | 600 Abbott Drive, Broomall, PA 19008 | 2015-07-17 |
| 1821411976 | Ketrin Kapllani | Behavioral Analyst | 475 Lawrence, Philadelphia, PA 19008 | 2014-01-27 |
| 1710325741 | Joel Christopher Fusunyan-lee | Registered Nurse | 219 Sussex Blvd, Broomall, PA 19008 | 2013-06-12 |
| Find all providers in zip 19008 | ||||
| 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 |
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| 1063055200 | Sepa Lab - Bristol | Pain Medicine | 200 Rittenhouse Circle, Ste 1a East, Bristol, PA 19007-1619 | 2019-10-21 |
| 1104482850 | Keystone Pain Consultants & Interventional Spine Specialists PC | Pain Medicine | 2000 Oxford Dr Ste 303, Bethel Park, PA 15102-1841 | 2019-05-17 |
| 1891250767 | Regenerative Pain Specialist, PC | Pain Medicine | 725 Darby Paoli Rd, Villanova, PA 19085-1008 | 2019-02-05 |
| 1649766742 | Smr Pain Management | Pain Medicine | 213 Reeceville Rd Ste 10, Coatesville, PA 19320-1532 | 2018-07-02 |
| 1720463938 | Lancaster Medical Group, LLC | Pain Medicine | 233 College Ave Ste 101, Lancaster, PA 17603-3385 | 2015-07-29 |
| 1760725246 | Pittsburgh Pain Physicians | Pain Medicine | 119 Vip Dr Ste G015, Wexford, PA 15090-7976 | 2013-04-02 |
| 1417199217 | Kenneth Zahl | Pain Medicine | 175 E Brown St Ste 201b, E Stroudsburg, PA 18301-3098 | 2009-03-25 |
| 1316127376 | St. Luke's Physician Group, Inc. | Pain Medicine | 1534 Park Ave Ste 310, Quakertown, PA 18951-1087 | 2007-11-07 |
| 1922111764 | Erie Spine and Pain Management PC | Pain Medicine | 2620 Sigsbee Street, Erie, PA 16508 | 2006-08-16 |
| 1790730570 | Sanjay M Madnani | Pain Medicine | 370 Middletown Blvd., Suite 508, Langhorne, PA 19047 | 2006-05-23 |
| 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.