SPINE CENTER OF CT, PLLC


Address: 67 Sand Pit Rd Ste 308, Danbury, CT 06810-4032
Phone: 2037437264

SPINE CENTER OF CT, PLLC (NPI# 1477197671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477197671
Entity Type Organization
Organization Name SPINE CENTER OF CT, PLLC
Practice Address 67 Sand Pit Rd Ste 308
Danbury
CT 06810-4032
Mailing Address 11350 Mccormick Rd
Executive Plaza 1, Suite 501
Hunt Valley
MD 21031-1002
Practice Telephone 2037437264
Practice Fax Number 2037923920
Mailing Telephone 4103291071
Mailing Fax Number 4103291054
Enumeration Date 2019-10-30
Last Update Date 2019-11-26
Authorized Official Name RAE DAVIS (OWNER)
Authorized Official Telephone 5712238770
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
Allopathic & Osteopathic Physicians

Other Data Sources

Entity Type Entity Name Entity Address
Connecticut Business Registrations Spine Center of Ct, Pllc 11921 Rockville Pike, Suite 505, Rockville, MD 20852

Office Location

Street Address 67 SAND PIT RD STE 308
City DANBURY
State CT
Zip Code 06810-4032

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801877915 Ross Elliot Dickstein Anesthesiology 67 Sand Pit Rd Ste 308, Danbury, CT 06810-4032 2005-11-07
1891262481 Pain & Spine Specialists of Connecticut, LLC Non-Pharmacy Dispensing Site 67 Sand Pit Rd Ste 308, Danbury, CT 06810-4032 2018-11-01
1083663058 Deloretta Theresa Eckenrode Nurse Practitioner 67 Sand Pit Rd Ste 308, Danbury, CT 06810 2006-05-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235751017 Jai Karan Singh Student in an Organized Health Care Education/Training Program 120 Main Street, Connecticut Institute of Communities, Danbury, CT 06810 2020-05-14
1497377576 Jahangir Rouzbehani Selakhor Student in an Organized Health Care Education/Training Program 24 Hospital Ave. 06810-6099, Danbury, CT 06810 2020-05-12
1255984043 Michelle Jean Moore Nurse Practitioner 95 Locust Avenue 1st Floor Oncology, Stroock Building, Danbury, CT 06810 2019-07-20
1740748755 Jose Rafael Rivera Pharmacist 305 White St, Danbury, CT 06810 2019-03-08
1013406396 Aswathi Elsa Mathew Student in an Organized Health Care Education/Training Program Greater Danbury Community Health Center, 120 Main St, Danbury, CT 06810 2018-05-02
1073001772 Manish Kumar Gupta Student in an Organized Health Care Education/Training Program Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 2018-04-27
1396232005 Ayushman Rai Sood Student in an Organized Health Care Education/Training Program 24 Hospital Avenue, Danbury Hospital, Danbury, CT 06810 2018-04-18
1366953705 Connecticut Neurodiagnostics, LLC Clinic/Center 83 Wooster Heights Rd., Suite 125, Office 145, Danbury, CT 06810 2017-10-12
1528585569 Xing Zhu Dentist 28 Paulding Ter, Danbury, CT 06810 2017-08-29
1851812606 Julie Susanne Alferi Dental Hygienist 70, Main Street, Danbury, CT 06810 2017-07-02
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Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467588020 Pain & Spine Specialists of Connecticut, LLC Pain Medicine 67 Sandpit Rd, Suite 308, Danbury, CT 06810-4032 2007-02-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1386256378 Pain & Spine Specialists of Connecticut, LLC Pain Medicine 75 Kings Highway Cutoff Ste 3a, Fairfield, CT 06824-5340 2020-08-20
1770109910 Rejuvenate Joint and Spine Pllc Pain Medicine 75 Tresser Blvd Unit 429, Stamford, CT 06901-3360 2020-06-23
1275804189 Robinson Pa, LLC Pain Medicine 85 Barnes Rd Ste 201, Wallingford, CT 06492-1832 2012-01-24
1245472604 Connecticut Regional Pain Specialists,llc Pain Medicine 2447 Whitney Ave Ste 2b, Hamden, CT 06518-3211 2009-04-01
1548322878 Joe Lee Pain Medicine 80 Brewster Rd, Ct Spine and Pain, Bristol, CT 06010 2006-12-14
1235163536 Eugene Lucier Pain Medicine 142 Hazard Ave, Enfield, CT 06082-4520 2006-07-10
1841257185 Eric D Grahling Pain Medicine 440 New Britain Ave, Comprehensive Pain Management of Central Ct, LLC, Plainville, CT 06062 2006-04-28
1881674398 Yasser Shaheen Pain Medicine 677 S Main St, Cheshire, CT 06410-3158 2006-01-19
1346706009 Rnp Regenerative Medicine PC Pain Medicine 55 South Rd Ste 120, Farmington, CT 06032-2022 2019-02-18
1255745741 Comprehensive Pain Clinic PC Pain Medicine 677 S Main St, Cheshire, CT 06410-3158 2014-06-12
Find all providers with the same taxonomy

Competitor

Search similar providers

City DANBURY
Zip Code 06810

Improve Information

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Dataset Information

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.

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