INTERVENTIONAL PAIN INSTITUTE, INCORPORATED (NPI# 1790854206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790854206 |
| Entity Type | Organization |
| Organization Name | INTERVENTIONAL PAIN INSTITUTE, INCORPORATED |
| Practice Address |
378 W Chestnut St Suite 105 Washington PA 15301-4659 |
| Mailing Address |
804 Scott Nixon Memorial Dr Augusta GA 30907-2464 |
| Practice Telephone | 7242225471 |
| Practice Fax Number | 7242220305 |
| Mailing Telephone | 8003944445 |
| Mailing Fax Number | 7069550735 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | WILLIE MICHAEL FUSSELL (OWNER) |
| Authorized Official Telephone | 7242281414 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
========= | PA | Allopathic & Osteopathic Physicians |
| X | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
========= | PA | Allopathic & Osteopathic Physicians |
| Street Address |
378 W CHESTNUT ST SUITE 105 |
| City | WASHINGTON |
| State | PA |
| Zip Code | 15301-4659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437166261 | David Nathan Vaughan | Dentist | 378 W Chestnut St, Suite 101, Washington, PA 15301-4659 | 2006-08-02 |
| 1770036246 | Darla Cowden | Physician Assistant | 378 W Chestnut St, Washington, PA 15301-4659 | 2016-08-01 |
| 1790131852 | Michael Nixon | Counselor | 378 W Chestnut St, Suite 205, Washington, PA 15301-4659 | 2016-05-09 |
| 1124486220 | South Hills Rehab Assocaites, Inc. | Physical Medicine & Rehabilitation | 378 W Chestnut St, Suite 105, Washington, PA 15301-4659 | 2016-02-03 |
| 1184059065 | Kathleen Dzura | Counselor | 378 W Chestnut St, Ste. 205, Washington, PA 15301-4659 | 2013-09-10 |
| 1194167528 | Carolyn Marie Vorhes-reed | Counselor | 378 W Chestnut St, Suite 205, Washington, PA 15301-4659 | 2013-07-26 |
| 1023450442 | Roxanne Marie Wray | Counselor | 378 W Chestnut St, Washington, PA 15301-4659 | 2013-07-26 |
| 1235430067 | Dental Health First, LLC | Dentist | 378 W Chestnut St, Suite 101, Washington, PA 15301-4659 | 2010-11-10 |
| 1801116413 | Alicia Marie Yokum | Dentist | 378 W Chestnut St, Washington, PA 15301-4659 | 2010-06-04 |
| 1598927113 | Jaime William Lawson | Counselor | 378 W Chestnut St, Washington, PA 15301-4659 | 2008-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629601208 | Tammi Kathleen Hanak | Speech-Language Pathologist | 2212 Shawnee Drive, Address Line 2, Washington, PA 15301 | 2020-02-21 |
| 1922652460 | Shannon Rouse | Nurse Practitioner | 95 Leonard Avenue Building 2 2nd Floor, Washington, PA 15301 | 2019-08-01 |
| 1700352291 | Heather Mcvay PC | Clinic/Center | 2112 North Franklin Dr, Suite 3, Washington, PA 15301 | 2018-10-23 |
| 1689169880 | Oper King | Counselor | 8 Oliver Rd, Oliver Square Suite 116, Uniontown, PA 15301 | 2018-06-29 |
| 1609374701 | Centerville Clinics Inc | Social Worker | 201 Allison Ave, Washington High School, Washington, PA 15301 | 2018-01-24 |
| 1902304009 | Centerville Clinics, Inc. | Social Worker | 50 Scenic Drive, Trinity Middle School, Washington, PA 15301 | 2018-01-24 |
| 1780182873 | Centerville Clinics, Inc | Social Worker | 252 Cameron Road, Trinity East Elementary School, Washington, PA 15301 | 2018-01-24 |
| 1700384807 | Centerville Clinics Inc | Social Worker | 801 East Wheeling St., Washington Park Elementary, Washington, PA 15301 | 2018-01-24 |
| 1992203095 | Centerville Clinics Inc | Social Worker | 2500 South Main St Ext., Trinity South Elementary School, Washington, PA 15301 | 2018-01-24 |
| 1578061784 | Centerville Clinics, Inc. | Social Worker | 225 Midland Drive, Trinity North Elelmentary School, Washington, PA 15301 | 2018-01-23 |
| Find all providers in zip 15301 | ||||
| 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 |
|---|---|---|---|---|
| 1336233881 | Praxedes Villacastin Belandres | Physical Medicine & Rehabilitation | Walter Reed Army Medical Center, 6900 Georgia Ave Nw, Bldg 41, Suite 021, Washington, DC 20307-5001 | 2006-10-02 |
| 1053324798 | Wenhui Cao | Physical Medicine & Rehabilitation | 240 Wellness Way, Washington, PA 15301-9697 | 2006-08-14 |
| 1710537717 | Metrospine PC | Physical Medicine & Rehabilitation | 1310 Southern Avenue, Suite 202, Washington, DC 20032-1400 | 2019-09-12 |
| 1124486220 | South Hills Rehab Assocaites, Inc. | Physical Medicine & Rehabilitation | 378 W Chestnut St, Suite 105, Washington, PA 15301-4659 | 2016-02-03 |
| 1982977807 | Physical Medicine Associates Ltd | Physical Medicine & Rehabilitation | 3 Washington Cir Nw, Suite 305, Washington, DC 20037-2356 | 2012-02-23 |
| 1114045341 | Mehul Jagdish Desai | Physical Medicine & Rehabilitation | 2141 K St Nw, Suite 600, Washington, DC 20037-1810 | 2007-03-26 |
| 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 | WASHINGTON |
| Zip Code | 15301 |
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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.