INTERVENTIONAL AND ALTERNATIVE SPINE AND WELLNESS, LLC


Address: 3630 Wheeler Rd, Augusta, GA 30909-6561
Phone: 7069220419

INTERVENTIONAL AND ALTERNATIVE SPINE AND WELLNESS, LLC (NPI# 1700490091) 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) 1700490091
Entity Type Organization
Organization Name INTERVENTIONAL AND ALTERNATIVE SPINE AND WELLNESS, LLC
Practice Address 3630 Wheeler Rd
Augusta
GA 30909-6561
Practice Telephone 7069220419
Practice Fax Number 7063640036
Mailing Telephone 7069220419
Mailing Fax Number 7063640036
Enumeration Date 2020-09-03
Last Update Date 2020-09-08
Authorized Official Name DR. DAVID BAKER (OWNER)
Authorized Official Telephone 2487669257
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 3630 WHEELER RD
City AUGUSTA
State GA
Zip Code 30909-6561

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912513888 Lauran Simpson Behavior Technician 1237 Augusta West Parkway, Augusta, GA 30909 2020-09-16
1487273884 Still Perspectives Counseling LLC Counselor 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 2020-04-15
1598397838 Mjra Medical LLC Psychologist 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 2020-02-05
1003452319 Danny Robinson Counselor 2609 Commons Boulevard, Augusta, GA 30909 2019-11-21
1407498637 Candice M Cruse Social Worker 2609 Commons Blvd, Augusta, GA 30909 2019-10-09
1902363385 Mary D Jodon Pharmacist 3338 Wrightsboro Rd., Augusta, GA 30909 2019-02-21
1447790514 Burn Critical Care Associates, LLC Internal Medicine 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 2017-03-08
1124561766 Sasha Latara Mccraw Counselor 7303 Palomino Court, Augusta, GA 30909 2016-11-30
1174974620 Warren Umansky, Ph.d. Psychologist 302 Wheeler Executive Ctr, Augusta, GA 30909 2016-06-27
1811358955 Theodora Mcleskey Nurse Practitioner 1215 George C. Wilson Drive, Augusta, GA 30909 2016-03-17
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Taxonomy Information

Taxonomy Code 2081P2900X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Pain Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396905816 Royal Pain Center PC Physical Medicine & Rehabilitation 2922 Professional Pkwy Ste A, Augusta, GA 30907-6532 2008-06-10
1104884246 John Martin Downey Physical Medicine & Rehabilitation 2922 Professional Pkwy, Ste A, Augusta, GA 30907-6528 2006-05-01
1215201355 Augusta Interventional Pain and Rehabilitation Physical Medicine & Rehabilitation 1355 Independence Dr, Augusta, GA 30901-1037 2012-03-07
1447541446 Joseph Augustin Md LLC Physical Medicine & Rehabilitation 3540 Wheeler Rd, Suite 508, Augusta, GA 30909-1871 2011-04-25
1295904050 Joseph Charles Augustin Physical Medicine & Rehabilitation 1355 Independence Dr, Physician Suite, Augusta, GA 30901-1037 2008-02-26
1063699015 John M Downey Physical Medicine & Rehabilitation 2922 Professional Pkwy, Suite A, Augusta, GA 30907-6528 2008-01-22
1679781793 Venkata Mohan Raju Lakkimsetty Physical Medicine & Rehabilitation 1 Freedom Way, Charlie Norwood Augusta Va, Augusta, GA 30904 2007-05-21
1326115411 John M Downey Sr Do PC Physical Medicine & Rehabilitation 2922 Professional Pkwy, Augusta, GA 30907-6528 2006-11-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881205151 Georgia Regenrx, LLC. Physical Medicine & Rehabilitation 5755 N Point Pkwy Ste 72, Alpharetta, GA 30022-1146 2020-08-11
1710514989 Jennifer Meyer Physical Medicine & Rehabilitation 1554 Riverstone Pkwy Ste 160, Canton, GA 30114-2887 2020-03-26
1982172060 Back To Life Pain Center, LLC Physical Medicine & Rehabilitation 410 Creekstone Rdg, Woodstock, GA 30188-3740 2018-11-07
1760900708 Neuro Diagnostic Group LLC Physical Medicine & Rehabilitation 200 Galleria Pkwy Se Ste 100, Atlanta, GA 30339-5944 2017-08-30
1386195378 Pain Management and Rehabilitation Physical Medicine & Rehabilitation 4121 Steve Reynolds Blvd, Norcross, GA 30093-3060 2016-10-14
1124471172 Pain Management and Rehabilitation Physical Medicine & Rehabilitation 4131 Steve Reynolds Blvd, Norcross, GA 30093-3060 2016-07-14
1043671761 Pain Management and Rehabilitation Inc Physical Medicine & Rehabilitation 3955 Lawrenceville Hwy Nw, Lilburn, GA 30047-2996 2016-03-08
1356761191 Simon Matt Willis Physical Medicine & Rehabilitation 114 Canal St Ste 503, Pooler, GA 31322-4261 2014-04-20
1891139663 Advanced Pain and Rahabilitation PC Physical Medicine & Rehabilitation 3030 Mcever Rd Ste 300, Gainesville, GA 30504-5538 2013-04-24
1013261312 Tattnall Hospital Company, LLC Physical Medicine & Rehabilitation 8. North Williams Street, Metter, GA 30439 2012-11-08
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Competitor

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City AUGUSTA
Zip Code 30909

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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