HOT SPRINGS INTERVENTIONAL PAIN MANAGEMENT (NPI# 1376733824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376733824 |
| Entity Type | Organization |
| Organization Name | HOT SPRINGS INTERVENTIONAL PAIN MANAGEMENT |
| Other Organization Name | ADVANCED INTERVENTIONAL PAIN MANAGEMENT |
| Practice Address |
1 Mercy Ln Ste 304 Hot Springs AR 71913 |
| Mailing Address |
1 Mercy Ln Ste 304 Hot Springs AR 71913-6440 |
| Practice Telephone | 5013214772 |
| Practice Fax Number | 5013213543 |
| Mailing Telephone | 5013214772 |
| Mailing Fax Number | 5013213543 |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2018-08-20 |
| Authorized Official Name | DR. JACOB E ABRAHAM (PROVIDER) |
| Authorized Official Telephone | 5013214772 |
| Authorized Official Credential | M.D. |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 125247001 | 05 |
| Other Name | Type Code |
|---|---|
| Advanced Interventional Pain Management | Doing Business As Name - Organization |
| Street Address |
1 MERCY LN STE 304 |
| City | HOT SPRINGS |
| State | AR |
| Zip Code | 71913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649756586 | Marylie Buckoski | Nurse Practitioner | 1 Mercy Ln Ste 304, Hot Springs, AR 71913-6440 | 2018-07-13 |
| 1487104907 | Gina Bryant | Nurse Practitioner | 1 Mercy Ln Ste 304, Hot Springs, AR 71913-6440 | 2016-10-07 |
| 1124575147 | Christopher Jarvis | Nurse Practitioner | 1 Mercy Ln Ste 304, Hot Springs, AR 71913-6440 | 2016-09-07 |
| 1891982278 | Mohammed I Khan | Physical Medicine & Rehabilitation | 1 Mercy Ln Ste 304, Hot Springs, AR 71913-6440 | 2007-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548722028 | Stephen L Bodemann M.d. Ltd | Internal Medicine | 1636 Higdon Ferry Road, Hot Springs, AR 71913 | 2019-04-03 |
| 1164986600 | Whitley Bryant | Behavior Technician | 219 Rockwell St, Hot Springs, AR 71913 | 2019-01-29 |
| 1841760436 | Lauren Danielle Bolding | Occupational Therapist | 4328 Central Ave Suite M, Hot Springs, AR 71913 | 2018-11-27 |
| 1164906673 | Rebecca Lynne Cleveland | Occupational Therapy Assistant | 181 Cornerstone, Hot Springs, AR 71913 | 2018-09-20 |
| 1689160293 | American Oncology Partners, P.a. | Internal Medicine | 1455 Higdon Ferry Rd Ste B, Hot Springs, AR 71913 | 2018-07-06 |
| 1932694692 | Healthstar Physicians of Hot Springs, Pllc | Radiology | 120 Adcock Rd Ste B, Hot Springs, AR 71913 | 2018-06-26 |
| 1043708001 | Statco-palmer, Inc | Audiologist | 4501 Central Avenue, Suite 174, C-6, Hot Springs, AR 71913 | 2018-04-25 |
| 1083133532 | Laken Nicolle Baldwin | Physical Therapist | 1635 Higdon Ferry Road, Ste G, Hot Springs, AR 71913 | 2017-09-15 |
| 1316463730 | Arkansas Home Care Assistance, LLC | In Home Supportive Care | 3955 Central Ave Ste 4, Hot Springs National Park, AR 71913 | 2017-08-17 |
| 1336675701 | Joni Westbrook | Case Manager/Care Coordinator | 154 Cornerstone, Hot Springs, AR 71913 | 2017-05-04 |
| Find all providers in zip 71913 | ||||
| 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 |
|---|---|---|---|---|
| 1891061040 | Vadim Petrov-kondratov | Pain Medicine | 180 Medical Park Pl Ste 102, Hot Springs, AR 71901-8066 | 2012-03-31 |
| 1568465698 | Donald L Boos Jr. | Pain Medicine | 307 Carpenter Dam Rd Ste F, Hot Springs, AR 71901-8282 | 2005-05-23 |
| 1952485542 | Central Arkansas Pain Center Pa | Pain Medicine | 307 Carpenter Dam Rd Ste F, Hot Springs, AR 71901-8282 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662345 | Bentonville Ambulatory Surgery Center, LLC | Pain Medicine | 2902 We Mid-cities Dr, Bentonville, AR 72712 | 2020-09-08 |
| 1932619327 | Fort Neuro | Pain Medicine | 1501 S Waldron Rd Ste 109, Fort Smith, AR 72903-2568 | 2017-10-11 |
| 1356635486 | Mohamed Tolba | Pain Medicine | 1080 Pats Ln, Conway, AR 72032-4754 | 2011-06-06 |
| 1295032407 | Interventional Pain Specialists of Nwa, Pllc | Pain Medicine | 509 E Millsap Rd Ste 109, Fayetteville, AR 72703-4862 | 2011-02-24 |
| 1558447599 | White River Health System, Inc. | Pain Medicine | 1700 Harrison St Ste T, Batesville, AR 72501-7315 | 2006-10-31 |
| 1699781427 | Sunil Gera | Pain Medicine | 2601 Southwest Square, Jonesboro, AR 72401 | 2006-08-01 |
| 1104806702 | Robert David Cannon | Pain Medicine | 3715 N Business Dr, Suite #101, Fayetteville, AR 72703-5204 | 2006-01-19 |
| 1386641520 | Sunder Krishnan | Pain Medicine | 14918 Cantrell Rd, Little Rock, AR 72223-4248 | 2005-07-01 |
| 1104306919 | Comprehensive Pain Care Pa | Pain Medicine | 201 N Slemons St, Monticello, AR 71655-4326 | 2018-08-21 |
| 1720444334 | North Arkansas Pain Managment Pa | Pain Medicine | 1215 Sidney St, Suite 200, Batesville, AR 72501-7203 | 2016-01-12 |
| Find all providers with the same taxonomy | ||||
| City | HOT SPRINGS |
| Zip Code | 71913 |
Please comment or provide details below to improve the information on HOT SPRINGS INTERVENTIONAL PAIN MANAGEMENT.
| 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.