PRO HEALTH PAIN & REHAB LLC. (NPI# 1477004513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477004513 |
| Entity Type | Organization |
| Organization Name | PRO HEALTH PAIN & REHAB LLC. |
| Practice Address |
12744 Westport Parkway Suite 1e Lavista NE 68138 |
| Mailing Address |
60 Lorraine Ct. Holbook NY 11741 |
| Practice Telephone | 9492819086 |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |
| Authorized Official Name | MARC A RESASCO (OWNER) |
| Authorized Official Telephone | 9492819086 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
NE | Allopathic & Osteopathic Physicians |
| Street Address |
12744 WESTPORT PARKWAY SUITE 1E |
| City | LAVISTA |
| State | NE |
| Zip Code | 68138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750755831 | Today's Dental Elkhorn LLC | Clinic/Center | 20211 Manderson Street, Elkhorn, NE 68138 | 2015-11-30 |
| 1205165230 | Nina Dearmont Homan | Pharmacist | 10004 South 152nd St., Omaha, NE 68138 | 2009-12-22 |
| 1013131952 | Misty M Mitchell | Massage Therapist | 9905 Sapp Bros. Dr, Ste 4, Omaha, NE 68138 | 2007-04-12 |
| 1003105214 | Elizabeth Stephens Constance | Obstetrics & Gynecology | 7308 S 142nd St, Omaha, NE 68138 | 2011-03-29 |
| 1629244108 | Johanna L Hatcliff | Pharmacist | 14882 Giles Rd, Apt 101, Omaha, NE 68138-3148 | 2008-05-05 |
| 1700135084 | Kent R Brooks | Counselor | 14261 Rose Lane Rd, Omaha, NE 68138-3541 | 2012-09-02 |
| 1063878205 | Firstscan LLC | Clinic/Center | 9840 S 140th St, Suite 5, Omaha, NE 68138-3693 | 2016-01-04 |
| 1578509956 | Ah Pharmacy Services LLC | Pharmacy | 10077 S 134th St, Omaha, NE 68138-3710 | 2006-06-22 |
| 1003047507 | Professional Veterinary Products Ltd | Pharmacy | 10077 S 134th St, Omaha, NE 68138-3710 | 2009-07-31 |
| 1013925189 | Brian D Long | Physical Therapist | 10700 Sapp Brothers Dr, Omaha, NE 68138-3823 | 2006-08-04 |
| Find all providers in zip 68138 | ||||
| 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 |
|---|---|---|---|---|
| 1245692581 | Innovative Pain & Spine Specialists | Pain Medicine | 7121 Stephanie Ln Ste 102, Lincoln, NE 68516-5359 | 2016-03-25 |
| 1346709383 | Grand Island Pain Relief Center PC | Pain Medicine | 403 Lexington Cir, Grand Island, NE 68803-9728 | 2019-03-19 |
| 1417474602 | Momenta Pain Care, LLC | Pain Medicine | 1805 N 145th St, Omaha, NE 68154 | 2017-08-28 |
| 1447576293 | Piperis Interventional Pain Care PC | Pain Medicine | 1111 N 102nd Ct, Suite 200, Omaha, NE 68114-2248 | 2010-04-19 |
| 1013161082 | Pravardhan Rajashekar Birthi | Pain Medicine | 403 Lexington Cir, Grand Island, NE 68803-9728 | 2008-11-04 |
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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.