MID-ATLANTIC PAIN INSTITUTE, P.A. (NPI# 1104980770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104980770 |
| Entity Type | Organization |
| Organization Name | MID-ATLANTIC PAIN INSTITUTE, P.A. |
| Other Organization Name | MID ATLANTIC SPINE |
| Practice Address |
1806 N Van Buren St Suite 110 Wilmington DE 19802-3851 |
| Mailing Address |
139 E Chestnut Hill Rd Newark DE 19713-4043 |
| Practice Telephone | 3024720163 |
| Practice Fax Number | 3024720164 |
| Mailing Telephone | 3023691700 |
| Mailing Fax Number | 3023691717 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2009-05-15 |
| Authorized Official Name | DR. FRANK JOHN FALCO (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3023691700 |
| 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 |
C10004539 | DE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | RAILROAD MEDICARE | CF8249 | 01 |
| DE | 001097202 | 05 |
| Other Name | Type Code |
|---|---|
| Mid Atlantic Spine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790849362 | Mid-atlantic Pain Institute, P.a. | Pain Medicine | 101 Chesapeake Blvd Ste B, Elkton, MD 21921 | 2006-12-20 |
| 1487718763 | Mid-atlantic Pain Institute, P.a. | Pain Medicine | 100 Biddle Ave, Suite 101, Newark, DE 19702 | 2006-12-20 |
| 1831148410 | Mid-atlantic Pain Institute, P.a. | Pain Medicine | 100 Biddle Ave, Suite 101, Newark, DE 19702-3981 | 2006-05-09 |
| Street Address |
1806 N VAN BUREN ST SUITE 110 |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19802-3851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770559247 | Amanda Kaye Vaught | Physical Therapist | 1806 N Van Buren St, Suite 110, Wilmington, DE 19802-3851 | 2006-02-24 |
| 1730403130 | Women To Women Ob/gyn Associates | Obstetrics & Gynecology | 1806 N Van Buren St, Suite 210, Wilmington, DE 19802-3851 | 2010-03-15 |
| 1245485325 | Moore Therapeutic Services LLC | Clinic/Center | 1806 N Van Buren St, Suite 110, Wilmington, DE 19802-3851 | 2008-11-17 |
| 1649361593 | Patricia A Heinemann | Advanced Practice Midwife | 1806 N Van Buren St, Suite 210, Wilmington, DE 19802-3851 | 2006-09-27 |
| 1063474286 | Kimberly Boehmler | Advanced Practice Midwife | 1806 N Van Buren St, Suite 210, Wilmington, DE 19802-3851 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457828352 | Allison Porter Nast | Nurse Practitioner | 1624 N Jessup Street, Wilmington, DE 19802 | 2018-10-29 |
| 1851804694 | Laura Jean Cornelis | Nurse Practitioner | 908b East 16th Street, Wilmington, DE 19802 | 2017-11-15 |
| 1477094365 | Jennifer Burris | Nurse Practitioner | 908-b East 16th Street, Wilmington, DE 19802 | 2017-03-13 |
| 1245694694 | Rochelle L Johnson | Counselor | 2005 Baynard Boulevard, Wilmington, DE 19802 | 2016-04-12 |
| 1942674692 | Barbara G Goldsmith | Social Worker | 501 W 37th St, Wilmington, DE 19802 | 2015-11-18 |
| 1942590492 | Olalekan David Falade | Pharmacist | 602 C4 West Lea Blvd, Wilmington, DE 19802 | 2011-04-18 |
| 1598919144 | Trina Brooks Haywood | Registered Nurse | 700 W Lea Blvd Ste 201, Wilmington, DE 19802 | 2008-11-10 |
| 1184808347 | Dr Lesly Robinson Dpm | Podiatrist | 4011 N Market Street, Wilmington, DE 19802 | 2007-12-24 |
| 1366622110 | Overbrook Therapy Associates | Community/Behavioral Health | 1015 West 24th Street, Wilmington, DE 19802 | 2007-11-09 |
| 1215059332 | Everett T Dickerson | Counselor | 620 W 27th St, Wilmington, DE 19802 | 2007-04-06 |
| Find all providers in zip 19802 | ||||
| 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 |
|---|---|---|---|---|
| 1558366385 | Sunil K Arora | Pain Medicine | 1602 Physicians Dr, Suite 103, Wilmington, NC 28401-7363 | 2005-06-17 |
| 1528063542 | Center for Pain Management Pllc | Pain Medicine | 1602 Physicians Dr Ste 103, Wilmington, NC 28401-7350 | 2005-06-16 |
| 1770122764 | First State Pharmacy | Pain Medicine | 405 Silverside Rd Ste 104, Wilmington, DE 19809-1768 | 2019-12-23 |
| 1093164410 | North American Spine & Pain Consultants LLC Naspac | Pain Medicine | 1600 Pennsylvania Ave, Wilmington, DE 19806-4047 | 2016-06-07 |
| 1730521360 | Tristate Interventional Pain and Wellness Center LLC | Pain Medicine | 2601 Annand Dr, Suite 3, Wilmington, DE 19808-3719 | 2013-07-24 |
| 1780955112 | Cowan Chiropractic and Rehabilitation | Pain Medicine | 536 Greenhill Ave, Wilmington, DE 19805-1851 | 2012-01-17 |
| 1265437008 | John H Knab | Pain Medicine | 1602 Physicians Dr, Ste 103, Wilmington, NC 28401-7350 | 2005-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588146864 | Living Pain Free People, LLC | Pain Medicine | 412 Capitol Trl, Newark, DE 19711-3865 | 2018-09-03 |
| 1174933907 | Delaware Spine Center | Pain Medicine | 101 Becks Woods Dr, Suite 100, Bear, DE 19701-3854 | 2014-05-01 |
| 1942638085 | Ark Pain Management, LLC | Pain Medicine | 430 Christiana Medical Ctr, Newark, DE 19702-1654 | 2013-10-29 |
| 1457499873 | Pain Center of Delaware | Pain Medicine | 17274 Coastal Hwy, Suite 2, Lewes, DE 19958-6210 | 2007-02-01 |
| 1487718763 | Mid-atlantic Pain Institute, P.a. | Pain Medicine | 100 Biddle Ave, Suite 101, Newark, DE 19702 | 2006-12-20 |
| 1508876848 | Frank John Falco | Pain Medicine | 100 Biddle Ave, Suite 101, Newark, DE 19702-3981 | 2006-08-09 |
| 1831148410 | Mid-atlantic Pain Institute, P.a. | Pain Medicine | 100 Biddle Ave, Suite 101, Newark, DE 19702-3981 | 2006-05-09 |
| City | WILMINGTON |
| Zip Code | 19802 |
Please comment or provide details below to improve the information on MID-ATLANTIC PAIN INSTITUTE, P.A..
| 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.