SPRINGFIELD SPINE & SPORT, INC. (NPI# 1801076369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801076369 |
| Entity Type | Organization |
| Organization Name | SPRINGFIELD SPINE & SPORT, INC. |
| Other Organization Name | MARTIN F. BERTRAM, MD |
| Practice Address |
4960 Middle Urbana Rd Springfield OH 45503-6040 |
| Practice Telephone | 9373998366 |
| Practice Fax Number | 9373998379 |
| Mailing Telephone | 9373998366 |
| Mailing Fax Number | 9373998379 |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MRS. PAMELA K GOTHARD (OFFICE MANAGER) |
| Authorized Official Telephone | 9373998366 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
35067942 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM | 000000038962 | 01 |
| OH | 0110963 | 05 | |
| OH | OHIO BUREAU WORKERS COMP | 389824050015 | 01 |
| Other Name | Type Code |
|---|---|
| MARTIN F. BERTRAM, MD | Other Name - Individual/Organization |
| Street Address |
4960 MIDDLE URBANA RD |
| City | SPRINGFIELD |
| State | OH |
| Zip Code | 45503-6040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790857068 | Martin F Bertram | Physical Medicine & Rehabilitation | 4960 Middle Urbana Rd, Springfield, OH 45503 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093182727 | Future Plan LLC Dba Home Instead Senior Care | In Home Supportive Care | 333 Mt Vernon Ave, Springfield, OH 45503 | 2015-08-28 |
| 1740665280 | Paulette Thomas | Occupational Therapy Assistant | 722 Patrick Road, Springfield, OH 45503 | 2015-07-27 |
| 1912391400 | Nanditha Alamelu Ranganathan | Student in an Organized Health Care Education/Training Program | 2655 Ballydoyle Dr., Springfield, OH 45503 | 2015-03-24 |
| 1598102568 | Careplus Home Healthcare | Registered Nurse | 802 N. Limestone St, Spfld, OH 45503 | 2013-05-30 |
| 1407120033 | Janice Louise Foster | Home Health Aide | 3131 Erter Drive, Springfield, OH 45503 | 2012-02-29 |
| 1306123112 | David P. Comer | Physician Assistant | 2600 N Limestone St Fl 2, Springfield, OH 45503 | 2011-11-08 |
| 1689953564 | Family Dental Care | Dentist | 1240 E. Main St, Springfield, OH 45503 | 2011-08-10 |
| 1942539317 | Latonia Marie Montgomery | Licensed Vocational Nurse | 2350 North Limestone #10, Springfield, OH 45503 | 2009-12-15 |
| 1518139385 | Springfield Eye Group LLC | Optometrist | 1674 North Limestone St, Springfield, OH 45503 | 2008-04-01 |
| 1457543951 | Kara Nicole Miller | Physician Assistant | 2600 N. Limestone, 2nd Floor, Springfield, OH 45503 | 2007-08-17 |
| Find all providers in zip 45503 | ||||
| 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 |
|---|---|---|---|---|
| 1962707075 | Charles Mauldin, Md PC | Physical Medicine & Rehabilitation | 3003 E Chestnut Expy Ste 109, Springfield, MO 65802-2527 | 2011-01-20 |
| 1831581735 | Insppire Limited Liability Company | Physical Medicine & Rehabilitation | 905 W Sproul Rd, Suite 101, Springfield, PA 19064-1254 | 2015-03-02 |
| 1881820280 | Eric Wayne Stewart | Physical Medicine & Rehabilitation | 1229 E Seminole St, Springfield, MO 65804 | 2009-06-01 |
| 1790987576 | Rheumatology Associates PC | Physical Medicine & Rehabilitation | 3377 Main St, Springfield, MA 01107-1111 | 2007-06-04 |
| 1396770087 | John O Watson | Physical Medicine & Rehabilitation | 1301 S Koke Mill Rd, Springfield, IL 62711-9252 | 2006-07-11 |
| 1013956523 | Frank J Bender IIi | Physical Medicine & Rehabilitation | 1301 S Koke Mill Rd, Springfield, IL 62711-9252 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386287936 | Novus Pain Management - Ohio LLC | Physical Medicine & Rehabilitation | 100 N Main St Ste 350, Chagrin Falls, OH 44022-2773 | 2019-10-25 |
| 1396218558 | Health Intrinsic Technology LLC | Physical Medicine & Rehabilitation | 41 Brookline Ave, Youngstown, OH 44505-2530 | 2019-01-09 |
| 1760884399 | Patrick T Boylan Md Inc | Physical Medicine & Rehabilitation | 9485 Mentor Ave Ste 203, Mentor, OH 44060-8723 | 2014-09-26 |
| 1750513867 | Comprehensive Pain Management & Electrodiagnostics, LLC | Physical Medicine & Rehabilitation | 80 N Portage Path, #ph7, Akron, OH 44303-1144 | 2009-08-23 |
| 1962654731 | James Edgar Lundeen Sr. | Physical Medicine & Rehabilitation | 26 Sandusky St, Plymouth, OH 44865-1113 | 2008-10-10 |
| 1679777528 | Kush Kumar Goyal | Physical Medicine & Rehabilitation | 1730 W 25th St # 2c, Center for Spine Health- Lutheran Hospital, Cleveland, OH 44113-3108 | 2007-06-13 |
| 1841316163 | University Primary Care Practices Inc | Physical Medicine & Rehabilitation | 50 Blaine Ave Ste 2300, Bedford, OH 44146-2709 | 2007-03-21 |
| 1467594986 | Tarulata M Patel | Physical Medicine & Rehabilitation | 50 Normandy Drive Suite #3, Liberty Medical Center, Painesville, OH 44077 | 2007-02-12 |
| 1184766602 | Maheshkumar P. Patel | Physical Medicine & Rehabilitation | 26250 Euclid Avenue, Suite 625, Euclid, OH 44132 | 2007-02-12 |
| 1205985967 | Southwest General Medical Group, Inc | Physical Medicine & Rehabilitation | 18780 Bagley Rd # 100, Cleveland, OH 44130-3304 | 2007-01-10 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 45503 |
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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.