SMR PAIN MANAGEMENT (NPI# 1649766742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649766742 |
| Entity Type | Organization |
| Organization Name | SMR PAIN MANAGEMENT |
| Practice Address |
213 Reeceville Rd Ste 10 Coatesville PA 19320-1532 |
| Practice Telephone | 2153381811 |
| Practice Fax Number | 2153383606 |
| Mailing Telephone | 2153381811 |
| Mailing Fax Number | 2153383606 |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2019-08-06 |
| Authorized Official Name | RONALD LINCOW (OWNER) |
| Authorized Official Telephone | 2153381811 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
213 REECEVILLE RD STE 10 |
| City | COATESVILLE |
| State | PA |
| Zip Code | 19320-1532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962029306 | Ara Dadivanyan | Psychiatry & Neurology | 201 Reeceville Rd., Brandywine Hospital, Coatesville, PA 19320 | 2020-07-01 |
| 1669098919 | Sara Mostafa | Psychiatry & Neurology | Brandy Wine Hospital, 201 Reeceville Rd, Coatesville, PA 19320 | 2020-06-23 |
| 1225654072 | Laurie Bond | Counselor | 774 East Lincoln Highway, Coatesville, PA 19320 | 2020-06-17 |
| 1356964506 | Timothy Robert Derosa | Psychiatry & Neurology | Brandywine Hospital 201 Reeceville Rd., Coatesville, Pa, PA 19320 | 2020-05-22 |
| 1184264632 | Evolve Individual Services, LLC | Counselor | 135 E Chestnut St, 204, Coatesville, PA 19320 | 2020-01-13 |
| 1649824111 | Angela Lynne Sylvina | Social Worker | 1825 E Lincoln Highway, Coatesville, PA 19320 | 2019-08-01 |
| 1629540257 | Rhonda Jean Sanford | Social Worker | Coatesville Vamc, Attn: Rhonda Sanford, Lcsw, 1400 Blackhorse Hill Rd, Bldg 57, Rm 227, Coatesvillle, PA 19320 | 2018-12-20 |
| 1528540499 | Jetquatta Parker | Licensed Practical Nurse | 786 Coates St, Coatesville, PA 19320 | 2018-09-06 |
| 1639608052 | Shafkat Hussain | Pharmacist | 800 East Lincoln Highway, Coatesville, PA 19320 | 2017-06-08 |
| 1790222032 | Elizabeth Barnett | Counselor | 2034crest Dr, Coatesville, PA 19320 | 2017-01-25 |
| Find all providers in zip 19320 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902219702 | Kyle Matthew Weiss | Physical Medicine & Rehabilitation | 501 Cetronia Rd Ste 125, Allentown, PA 18104-9569 | 2014-06-09 |
| 1558771089 | Christian Boris Acharte | Physical Medicine & Rehabilitation | 700 Horizon Circle Ste 206, Chalfont, PA 18914-3967 | 2014-05-06 |
| 1649618349 | David Stephen Mills | Physical Medicine & Rehabilitation | 8775 Norwin Ave Ste 108, North Huntingdon, PA 15642 | 2013-06-05 |
| 1306184858 | Lighthouse Medical, LLC | Physical Medicine & Rehabilitation | 301 E. Pleasant Valley Blvd, Altoona, PA 16602 | 2013-01-17 |
| 1710243787 | Alcinto Steven Guirand | Physical Medicine & Rehabilitation | 1450 Scalp Ave Ste 2100, Johnstown, PA 15904-3374 | 2012-04-04 |
| 1578848651 | Performance Spine and Sports Medicine of Newtown, LLC | Physical Medicine & Rehabilitation | 828 Newtown Yardley Road, A, Newtown, PA 18940 | 2011-10-20 |
| 1588974588 | Greater Philadelphia Pain Management Center PC | Physical Medicine & Rehabilitation | 104 Bailey Dr, North Wales, PA 19454-4526 | 2010-10-12 |
| 1245545813 | Maureen Murphy Ginsburg | Physical Medicine & Rehabilitation | 551 W Mahoning St, Punxsutawney, PA 15767 | 2010-08-08 |
| 1205071297 | Bethia A. Cawley | Physical Medicine & Rehabilitation | 2804 Southampton Rd, Philadelphia, PA 19154-1207 | 2008-12-05 |
| 1891953188 | Paris Hughes | Physical Medicine & Rehabilitation | 2447 N 54th St, Philadelphia, PA 19131-2423 | 2008-05-23 |
| Find all providers with the same taxonomy | ||||
| City | COATESVILLE |
| Zip Code | 19320 |
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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.