MEDICAL PAIN MANAGEMENT SERVICES, PLLC (NPI# 1215981261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215981261 |
| Entity Type | Organization |
| Organization Name | MEDICAL PAIN MANAGEMENT SERVICES, PLLC |
| Other Organization Name | THE ALBANY CENTER FOR PAIN MGMT |
| Practice Address |
116 Everett Rd Albany NY 12205-1427 |
| Practice Telephone | 5184630171 |
| Practice Fax Number | 5144630174 |
| Mailing Telephone | 5184630171 |
| Mailing Fax Number | 5144630174 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2015-07-24 |
| Authorized Official Name | THOMAS PASCARELLA (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 5184630171 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
237045-1 | NY | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
NY | Allopathic & Osteopathic Physicians | |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
NY | Allopathic & Osteopathic Physicians | |
| N | 363A00000X | Physician Assistant | NY | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
191595 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | CDPHP | 4868 | 01 |
| NY | GHI PPO GROUP # | 5508704 | 01 |
| Other Name | Type Code |
|---|---|
| The Albany Center for Pain Mgmt | Doing Business As Name - Organization |
| Street Address |
116 EVERETT RD |
| City | ALBANY |
| State | NY |
| Zip Code | 12205-1427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255325825 | Pamela J Madej | Registered Nurse | 116 Everett Rd, Albany, NY 12205-1427 | 2005-09-09 |
| 1326504234 | Kristin Franke Stalker | Nurse Practitioner | 116 Everett Rd, Albany, NY 12205 | 2019-02-15 |
| 1689059032 | Sarah Thomas | Nurse Practitioner | 116 Everett Rd, Medical Pain Management Services, Pllc, Albany, NY 12205-1427 | 2015-07-28 |
| 1558755983 | Kimberley Schuller | Anesthesiology | 116 Everett Rd, Albany, NY 12205-1427 | 2015-03-24 |
| 1225455439 | Geraldine Lehman | Nurse Practitioner | 116 Everett Rd, Albany, NY 12205-1427 | 2014-03-25 |
| 1386959716 | Shannon Lauren O'meara | Nurse Practitioner | 116 Everett Rd, Albany, NY 12205-1427 | 2010-08-10 |
| 1558524017 | Priti Vohra | Physical Medicine & Rehabilitation | 116 Everett Rd, Albany, NY 12205-1427 | 2008-07-05 |
| 1275624900 | Sand Creek Medical PC | Specialist | 116 Everett Rd, Albany, NY 12205-1427 | 2006-09-27 |
| 1598725673 | Martin Gerard Ferrillo | Physical Medicine & Rehabilitation | 116 Everett Rd, Albany, NY 12205-1427 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564053 | Capital Regional Rx LLC | Pharmacy | 431 New Karner Road Bldg#4 Suite 180, Albany, NY 12205 | 2020-10-07 |
| 1548722549 | The Alternative Living Group, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 500 New Karner Road, Suite 3, Albany, NY 12205 | 2019-04-01 |
| 1003398439 | Sarah Itwaru | Social Worker | 401 New Karner Road, Albany, NY 12205 | 2018-09-01 |
| 1740708106 | Kenneth Cook | Physician Assistant | 121everett Rd, Albany, NY 12205 | 2017-09-06 |
| 1437691839 | Sarah Avery | Physical Therapist | 5 S Family Dr, Colonie, NY 12205 | 2016-11-16 |
| 1063892776 | Olsen Medical Sales, LLC | Durable Medical Equipment & Medical Supplies | 98 Everett Rd, Albany, NY 12205 | 2015-06-08 |
| 1972921484 | Alixandra Joy Foisy | Social Worker | 42 Oakwood Dr, Albany, NY 12205 | 2014-04-01 |
| 1780015206 | The Promptcare Companies | Durable Medical Equipment & Medical Supplies | 1015c Central Avenue, Albany, NY 12205 | 2013-12-09 |
| 1396088332 | Early Childhood Education Center | Day Training, Developmentally Disabled Services | 251 Washington Ave Extension, Albany, NY 12205 | 2013-03-28 |
| 1487906707 | Centerfordisabiltyservices | Preferred Provider Organization | 5 Keller Street, Albany, NY 12205 | 2012-10-10 |
| Find all providers in zip 12205 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528051869 | Edward A Apicella | Anesthesiology | 12 Corporate Woods Blvd, Albany, NY 12211-2524 | 2005-08-23 |
| 1558755983 | Kimberley Schuller | Anesthesiology | 116 Everett Rd, Albany, NY 12205-1427 | 2015-03-24 |
| 1396011656 | Adult Medicine PC | Anesthesiology | 1 Pinnacle Pl, Suite 203, Albany, NY 12203-3496 | 2012-03-30 |
| 1942521596 | Nyla Azam | Anesthesiology | 43 New Scotland Ave, Mc 131, Albany, NY 12208-3412 | 2010-06-17 |
| 1891938056 | Sowega Anesthesia, LLC | Anesthesiology | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2009-04-16 |
| 1518135946 | Southwest Georgia Anesthesia Consultants, LLC | Anesthesiology | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2008-02-19 |
| 1710046461 | Albany Anesthesia PC | Anesthesiology | 930 Sw 9th Avenue, Albany, OR 97321-0708 | 2006-12-08 |
| 1790893402 | Henry Albert Pridgen IIi | Anesthesiology | 406 W 1st Ave, Albany, GA 31701-2202 | 2006-08-25 |
| 1619085230 | Richard Lee Bowe | Anesthesiology | 406 W 1st Ave, Albany, GA 31701-2202 | 2006-08-25 |
| 1306853510 | Lamar Houston Moree Jr. | Anesthesiology | 417 W 3rd Ave, Phoebe Putney Memorial Pain Management Center, Albany, GA 31701-1943 | 2006-08-01 |
| Find all providers in ALBANY | ||||
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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.