EVERGREEN PAIN MANAGEMENT & REHABILITATION LTD (NPI# 1639318413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639318413 |
| Entity Type | Organization |
| Organization Name | EVERGREEN PAIN MANAGEMENT & REHABILITATION LTD |
| Practice Address |
5445 Detroit Rd Suite 201 Sheffield Village OH 44054-2904 |
| Practice Telephone | 4402409111 |
| Practice Fax Number | 4409345459 |
| Mailing Telephone | 4402409111 |
| Mailing Fax Number | 4409345459 |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | BRIAN L BENNETT (OWNER) |
| Authorized Official Telephone | 4402409111 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NX0100X |
Chiropractor Specialization: Occupational Health |
2954 | OH | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | FEDERAL WORKER'S COMPENSATION | 123236700 | 01 |
| OH | 2085032 | 05 | |
| OH | BCBS | 000000324155 | 01 |
| Street Address |
5445 DETROIT RD SUITE 201 |
| City | SHEFFIELD VILLAGE |
| State | OH |
| Zip Code | 44054-2904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982636627 | Brian Lee Bennett | Chiropractor | 5445 Detroit Rd, Suite 201, Sheffield Village, OH 44054 | 2006-07-06 |
| 1275091795 | Symetria Health of Ohio, L.L.C. | Clinic/Center | 5445 Detroit Rd, Sheffield Village, OH 44054-3909 | 2019-03-04 |
| 1750890133 | Paladina Health, LLC | Family Medicine | 5445 Detroit Rd, Sheffield Village, OH 44054-3909 | 2017-09-28 |
| 1689073181 | Jason Gunselman | Massage Therapist | 5445 Detroit Rd, Suite 201, Sheffield Village, OH 44054-3909 | 2014-08-20 |
| 1073758009 | Advantage Imaging, LLC | Radiology | 5445 Detroit Rd, Suite 101, Sheffield Village, OH 44054-2904 | 2008-12-04 |
| 1861619231 | Megan Elwell Dimacchia | Physical Therapist | 5445 Detroit Rd, Suite #201, Sheffield Village, OH 44054-2904 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929925 | Aaron H Simmons | Homemaker | 764 Irving Park Blvd., Sheffield Lake, OH 44054 | 2020-10-14 |
| 1366056210 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 410 Abbe Road, Sheffield Lake, OH 44054 | 2020-09-08 |
| 1619581568 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 460 Abbe Road, Sheffield Lake, OH 44054 | 2020-09-08 |
| 1194339044 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 5230 East Lake Road, Sheffield Lake, OH 44054 | 2020-09-08 |
| 1326652496 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 801 Robinwood, Sheffield Lake, OH 44054 | 2020-09-04 |
| 1699926568 | Old Abbe Road Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3942 Old Abbe Road, Sheffield Village, OH 44054 | 2008-10-09 |
| 1770778771 | Aaron Matthew Locke | Chiropractor | 5445 Detroit Rd., Suite 201, Sheffield Village, OH 44054 | 2007-09-12 |
| 1942421482 | Mary Carpenter Boia | Speech-Language Pathologist | 5125 Burrell Drive, Sheffield Village, OH 44054 | 2007-05-01 |
| 1497975668 | Jeanne Louise Thompson | Licensed Practical Nurse | 677 Grantwood Ave, Sheffield Lake, OH 44054 | 2007-04-27 |
| 1649256801 | John Keith Krebs | Orthopaedic Surgery | 5001 Transportation Dr, Sheffield Village, OH 44054 | 2005-12-20 |
| Find all providers in zip 44054 | ||||
| Taxonomy Code | 111NX0100X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Occupational Health |
| Occupational Health is that specialty within the chiropractic profession that deals with the prevention and management of work related injuries. It also considers and assists clients with State and Federal Compliance assistance. Occupational Health goes much farther than simply treating injured workers however. This may mean working with clients to promote optimum safety and ergonomic principles, interacting with the injured worker to promote safety and prevent future injuries, assisting a company with accident investigation to identify root cause, redesigning a workstation to eliminate hazards, working with safety teams, providing training programs etc. The list of potential services that the specialist can interact with a client company or patient is lengthy and varied involving both in office services as well as on site services. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982636627 | Brian Lee Bennett | Chiropractor | 5445 Detroit Rd, Suite 201, Sheffield Village, OH 44054 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548609324 | Saltes Chiropractic | Chiropractor | 446 E Tallmadge Ave, Akron, OH 44310-2401 | 2013-06-14 |
| 1801001029 | Vivian A Conde | Chiropractor | 41640 Parsons Rd, Lagrange, OH 44050-9513 | 2007-05-11 |
| 1073607339 | Anthony J Badalamenti | Chiropractor | 45 N Chillicothe Rd, Aurora, OH 44202-8702 | 2006-10-03 |
| 1295848612 | Brian C Ball | Chiropractor | 10779 Brookpark Rd, Suite 102, Parma, OH 44130-1164 | 2006-08-17 |
| 1285637868 | John Robert Reinshagen | Chiropractor | 4226 Bridgetown Rd, Cincinnati, OH 45211-4598 | 2005-05-27 |
| City | SHEFFIELD VILLAGE |
| Zip Code | 44054 |
Please comment or provide details below to improve the information on EVERGREEN PAIN MANAGEMENT & REHABILITATION LTD.
| 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.