INNOVATIVE PHYSICIAN SERVICES LLC (NPI# 1922096049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922096049 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE PHYSICIAN SERVICES LLC |
| Practice Address |
95 Frank B Murray St Springfield MA 01103-1106 |
| Practice Telephone | 4133016019 |
| Mailing Telephone | 4133016019 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2016-09-09 |
| Authorized Official Name | DR. ADNAN M DAHDUL (MD/PRESIDENT) |
| Authorized Official Telephone | 4135470012 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9721690 | 05 | |
| MA | BLUE CROSS | M18224 | 01 |
| NH | 30214102 | 05 |
| Street Address |
95 FRANK B MURRAY ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01103-1106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346875077 | Ricardo Javier Vargas Echevarria Sr. | Counselor | 95 Frank B Murray St, Springfield, MA 01103-1106 | 2020-03-03 |
| 1194357772 | Devron Washington | Student in an Organized Health Care Education/Training Program | 95 Frank B Murray St, Springfield, MA 01103-1106 | 2020-02-11 |
| 1790344612 | Peace & Wellness, Inc. | Clinic/Center | 95 Frank B Murray St, Springfield, MA 01103-1106 | 2019-06-13 |
| 1548723216 | Carlos Joel Semidey | Student in an Organized Health Care Education/Training Program | 95 Frank B Murray St, Springfield, MA 01103-1106 | 2019-04-10 |
| 1043771827 | Samuel Guzman | Student in an Organized Health Care Education/Training Program | 95 Frank B Murray St, Springfield, MA 01103-1106 | 2019-03-26 |
| 1972068393 | Lynn Reed | Counselor | 95 Frank B Murray St, Springfield, MA 01103-1106 | 2019-02-11 |
| 1013472257 | Daniel Serrano | Psychologist | 95 Frank B Murray St, Springfield, MA 01103-1106 | 2019-02-01 |
| 1629541941 | Haley Ann Wroth | Student in an Organized Health Care Education/Training Program | 95 Frank B Murray St, Springfield, MA 01103-1106 | 2019-01-09 |
| 1306319629 | Ruth Ayala | Student in an Organized Health Care Education/Training Program | 95 Frank B Murray St, Springfield, MA 01103-1106 | 2019-01-09 |
| 1154894566 | Debbie Ann Wilson | Counselor | 95 Frank B Murray St, Springfield, MA 01103-1106 | 2019-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336790609 | Mahmoud Al Homsi | Dentist | 41 Taylor St. 4th Fl, Springfield, MA 01103 | 2019-09-26 |
| 1427521749 | Pedro Cruz | Student in an Organized Health Care Education/Training Program | 95 Frank B Murray, Springfield, MA 01103 | 2019-01-09 |
| 1003325010 | Amber Lynn Chisholm | Counselor | 130 Maple St., Springfield, MA 01103 | 2017-09-21 |
| 1750737391 | Mande' Counseling | Community/Behavioral Health | 1365 Main St Suite 401, Springfield, MA 01103 | 2016-05-13 |
| 1528467248 | Amanda M Galloway | Physician Assistant | 1038-1050 Main St, Springfield, MA 01103 | 2014-08-19 |
| 1114326113 | Anne Marie Belinda | Nurse Practitioner | 1049 Main St., Springfield, MA 01103 | 2014-08-15 |
| 1538575295 | Sunrise Behavioral Health Clinic, LLC | Clinic/Center | 95 Frank B. Murray Street, Springfield, MA 01103 | 2014-07-02 |
| 1548675093 | Jessica Lynn Pasalacqua | Dietitian, Registered | 870 Main St., Springfield, MA 01103 | 2014-06-24 |
| 1003220443 | Ivan Rosario | Counselor | 1695 Main St Ste400, Springfield, MA 01103 | 2014-06-13 |
| 1275964769 | Leeandrew Rick Wilson | Counselor | 1695 Main St., Springfield, MA 01103 | 2013-12-09 |
| Find all providers in zip 01103 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255691846 | Medical Express Urgent Care Center, Co. Inc. | Physical Medicine & Rehabilitation | 438 Chestnut Street, Springfield, MA 01107 | 2012-05-17 |
| 1386887453 | Michael G. Ryan | Physical Medicine & Rehabilitation | 1335 E Republic Rd, Suite D, Springfield, MO 65804-7204 | 2009-04-19 |
| 1255478970 | Thomas B. Corsolini | Physical Medicine & Rehabilitation | 3520 S Culpepper Circle Ste. D, Springfield, MO 65804 | 2007-01-31 |
| 1790857068 | Martin F Bertram | Physical Medicine & Rehabilitation | 4960 Middle Urbana Rd, Springfield, OH 45503 | 2006-11-14 |
| 1518038314 | Randal S Richardson | Physical Medicine & Rehabilitation | 4230 E. National Road (rear), Springfield, OH 45505-1714 | 2006-11-13 |
| 1720028327 | Patrick Murphy | Physical Medicine & Rehabilitation | 57 S State Rd, Springfield, PA 19064-1638 | 2006-06-08 |
| 1336125665 | Howard C Lederman | Physical Medicine & Rehabilitation | 233 Carew St, Springfield, MA 01104-2377 | 2005-12-19 |
| 1194718270 | Charles C Mauldin Jr. | Physical Medicine & Rehabilitation | 1308 N Glenstone Ave, Springfield, MO 65802-2130 | 2005-08-24 |
| 1720087463 | Carl Douglas Porter | Physical Medicine & Rehabilitation | 100 Medical Center Dr, Springfield, OH 45504-2687 | 2005-07-15 |
| 1265439343 | Phuong Xuan Mai | Physical Medicine & Rehabilitation | 6620 Keene Dr, Springfield, VA 22152-2508 | 2005-07-05 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01103 |
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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.