PERSONALIZED SPINE AND PAIN CARE (NPI# 1457735029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457735029 |
| Entity Type | Organization |
| Organization Name | PERSONALIZED SPINE AND PAIN CARE |
| Practice Address |
1160 Varnum St Ne Suite 212 Washington DC 20017-2107 |
| Mailing Address |
Po Box 29397 Washington DC 20017-0397 |
| Practice Telephone | 2020507844 |
| Practice Fax Number | 2025078503 |
| Mailing Telephone | 2025078444 |
| Mailing Fax Number | 2025078503 |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2015-07-14 |
| Authorized Official Name | AYASHA WILLIAMS-SHARRON (PRESIDENT) |
| Authorized Official Telephone | 2025078444 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
MD038938 | DC | Ambulatory Health Care Facilities |
| Street Address |
1160 VARNUM ST NE SUITE 212 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20017-2107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619975349 | Edward Anthony Rankin | Orthopaedic Surgery | 1160 Varnum St Ne, 312, Washington, DC 20017-2107 | 2005-07-07 |
| 1275150666 | Abena Ameyaa Effah Habia | Social Worker | 1160 Varnum St Ne, Washington, DC 20017-2107 | 2020-07-01 |
| 1669922423 | Brittany Page | Dietitian, Registered | 1160 Varnum St Ne, Depaul 110, Washington, DC 20017-2107 | 2016-10-05 |
| 1396291480 | Selam Zewoldi | Physician Assistant | 1160 Varnum St Ne, St Catherine's Hall, Suite 200, Washington, DC 20017-2107 | 2016-08-29 |
| 1841648292 | Dental Professional Associates LLC | Durable Medical Equipment & Medical Supplies | 1160 Varnum St Ne, #006, Washington, DC 20017-2107 | 2016-05-26 |
| 1124496013 | Phs Internal Medicine Dp311 | Internal Medicine | 1160 Varnum St Ne, Depaul 311, Washington, DC 20017-2107 | 2015-09-09 |
| 1457730244 | Phs Gen Surg Dp306 | Surgery | 1160 Varnum St Ne, Depaul 306, Washington, DC 20017-2107 | 2015-05-26 |
| 1336532035 | Erin Keehan | Nurse Practitioner | 1160 Varnum St Ne, Suite 100, Washington, DC 20017-2107 | 2015-03-05 |
| 1730571530 | Rachel Merton | Nurse Practitioner | 1160 Varnum St Ne, Suite 312, Washington, DC 20017-2107 | 2015-03-03 |
| 1225428865 | Diabetic Eye & Macular Disease Specialists LLC | Ophthalmology | 1160 Varnum St Ne, Suite 208, Washington, DC 20017-2107 | 2015-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588215479 | Janet Achankeng Folem | Psychologist | 7100 Varnum St Ne, Suit 218, Washington, DC 20017 | 2019-09-23 |
| 1013475284 | Raphaelia Agnes Johnson-phillips | Technician | 440 Taylor St. Ne Building B Apt 22, Washington Dc, DC 20017 | 2019-03-06 |
| 1528551413 | Harpreet Saluja | Student in an Organized Health Care Education/Training Program | 1150 Varnum St Ne, Providence Hospital Im Department, Washington, DC 20017 | 2018-06-14 |
| 1134638042 | Jane Hayashi-kim | Speech-Language Pathologist | 3910 9th St Ne, Apartment 3, Washington, DC 20017 | 2017-09-22 |
| 1346766102 | Aaliyah Gabrielle Jones | Technician | 611edgewood Ne, Washington, DC 20017 | 2017-08-14 |
| 1417479197 | Javalin Singh | Home Health Aide | Hsc Pediatric Center 1731 Bunker Hill Rd, Washington, DC 20017 | 2017-07-13 |
| 1386174175 | Genevieve Wells | Home Health Aide | 601 Edgewood St. Ne, Apt 706, Washington, DC 20017 | 2017-06-14 |
| 1487183810 | Valerie Anne Pierre | Student in an Organized Health Care Education/Training Program | 1150 Varnum Street, N.e., Acc 209, Washington, DC 20017 | 2017-06-08 |
| 1639600984 | Liliana Tatum | Counselor | 1428 Hamlin Street Ne, Washington, DC 20017 | 2017-03-27 |
| 1750835435 | Marie Hortense Mabou Sando | Home Health Aide | 1416 9th Street Nwdc, Washington, DC 20017 | 2016-08-10 |
| Find all providers in zip 20017 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| City | WASHINGTON |
| Zip Code | 20017 |
Please comment or provide details below to improve the information on PERSONALIZED SPINE AND PAIN CARE.
| 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.