BAY STATE SPINE & PAIN CENTER LLC (NPI# 1427330950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427330950 |
| Entity Type | Organization |
| Organization Name | BAY STATE SPINE & PAIN CENTER LLC |
| Practice Address |
291 Main St Milford MA 01757-2526 |
| Practice Telephone | 5086342444 |
| Practice Fax Number | 5086342999 |
| Mailing Telephone | 5086342444 |
| Mailing Fax Number | 5086342999 |
| Enumeration Date | 2011-09-11 |
| Last Update Date | 2011-12-18 |
| Authorized Official Name | DR. DIRK A JOHNS (OWNER) |
| Authorized Official Telephone | 5086342444 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
14220 | MA | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | BAY STATE SPINE & PAIN CENTER LLC | 5 Water St., Milford, MA 01757 |
| Street Address |
291 MAIN ST |
| City | MILFORD |
| State | MA |
| Zip Code | 01757-2526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487069373 | William N Craft | Counselor | 291 Main St, Ste 10, Milford, MA 01757-2526 | 2014-06-30 |
| 1750684031 | Johns Chiropractic, LLC | Chiropractor | 291 Main St, Milford, MA 01757-2526 | 2010-12-08 |
| 1649450842 | Dr. Linda D. Drennen, Dmd, PC | Dentist | 291 Main St, Milford, MA 01757-2526 | 2007-11-06 |
| 1063610863 | William N Craft IIi | Social Worker | 291 Main St, Ste 10, Milford, MA 01757-2526 | 2007-07-03 |
| 1619091444 | Mary K Benjamin | Social Worker | 291 Main St, Suite 10, Milford, MA 01757 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326686825 | Lisa Marie Villa | Physical Therapist | 37 Birch Street, Milford, MA 01757 | 2019-12-16 |
| 1689217739 | Aleosa Assurance Healthcare LLC | In Home Supportive Care | 199 Main St # 4, Milford, MA 01757 | 2019-10-22 |
| 1578028494 | Point of Healing Acupuncture LLC | Acupuncturist | 114 Water Street, Building 1, Milford, MA 01757 | 2019-02-05 |
| 1205354701 | Cristina Alexandra Cruz | Psychologist | 10 Asylum Street, Milford, MA 01757 | 2017-09-05 |
| 1316460694 | Kayla Supple | Behavioral Analyst | 7 Caroline Drive, Milford, MA 01757 | 2017-07-19 |
| 1487176111 | Kelsey Elizabeth Meleady | Developmental Therapist | 421 Fortune Boulevard, Milford, MA 01757 | 2017-07-14 |
| 1376065748 | Roberta Marie Mcleod | Developmental Therapist | 321 Fortune Boulevard, Milford, MA 01757 | 2017-07-07 |
| 1124442884 | Cornerstone At Milford | Assisted Living Facility | 11 Birch St., Milford, MA 01757 | 2014-02-14 |
| 1861835126 | Haylie Nichele Fuhrmann | Social Worker | 32 Hamilton St, Milford, MA 01757 | 2013-04-16 |
| 1558602680 | Lauren Kate Stasiukiewicz | Developmental Therapist | 321 Forture Blvd, Milford, MA 01757 | 2013-03-14 |
| Find all providers in zip 01757 | ||||
| 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 |
|---|---|---|---|---|
| 1861529018 | Jeffrey Carruth | Anesthesiology | 2080 Bridgeport Ave Ste C, Milford, CT 06460 | 2007-02-27 |
| 1699707810 | Eugene Edward Godfrey | Anesthesiology | 1014 N Walnut St, Milford, DE 19963-1244 | 2006-07-07 |
| 1568673812 | Phong Quoc Le | Anesthesiology | 1197 Airport Rd, Milford, DE 19963 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102614 | Premier Pain Management Pllc | Anesthesiology | 33 Electric Ave Ste 102, Fitchburg, MA 01420-7954 | 2019-03-05 |
| 1295969103 | Karen Munkacy | Anesthesiology | 116 Chestnut Hill Rd, Chestnut Hill, MA 02467-1310 | 2009-05-06 |
| 1073756441 | Prashant Kumar | Anesthesiology | 102 Shore Drive, Ste 502, Worcester, MA 01605-3154 | 2009-04-14 |
| 1568657120 | Han L Chiu | Anesthesiology | 80 Waltham Street, D-22, Norwell, MA 02061 | 2007-09-07 |
| 1366576191 | New England Pain Associates, P.C. | Anesthesiology | 48 Elm Street, Worcester, MA 01609-2541 | 2007-03-15 |
| 1619003092 | Sarah Louise Blake | Anesthesiology | 3 Woodland Rd Ste 318, Stoneham, MA 02180-1713 | 2007-02-27 |
| 1063579076 | William Emerson Dworet | Anesthesiology | 21 Brewster Cross Rd Unit C, Orleans, MA 02653-3339 | 2007-01-02 |
| 1235297250 | Bijan Nasseri Niaki | Anesthesiology | 91 Washington Street, 3rd Floor Ste 303, Taunton, MA 02780 | 2006-12-04 |
| 1073681508 | Galina Davidyuk | Anesthesiology | 75 Francis Str, Bwh Anesthesia Department, Boston, MA 02115 | 2006-12-01 |
| 1932133691 | Hariharan V Sundram | Anesthesiology | 205 Homer St, Newton, MA 02459-1420 | 2006-07-10 |
| 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.