MINIMALLY INVASIVE SPINE INSTITUTE, PLLC (NPI# 1962664169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962664169 |
| Entity Type | Organization |
| Organization Name | MINIMALLY INVASIVE SPINE INSTITUTE, PLLC |
| Practice Address |
1715 N George Mason Dr Suite 202 Arlington VA 22205-3609 |
| Mailing Address |
1508 Genesee St Utica NY 13502-5178 |
| Practice Telephone | 7038942224 |
| Practice Fax Number | 7039972566 |
| Mailing Telephone | 3157988737 |
| Mailing Fax Number | 3157321702 |
| Enumeration Date | 2008-06-28 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | MR. ZAIN HAIDER (DIRECTOR) |
| Authorized Official Telephone | 3157988737 |
| Authorized Official Credential | MSBM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1715 N GEORGE MASON DR SUITE 202 |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22205-3609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437153111 | Deepali Kothary | Obstetrics & Gynecology | 1715 N George Mason Dr, Ste 406, Arlington, VA 22205-3662 | 2005-06-09 |
| 1578179891 | Kirsten Campbell | Physical Therapist | 1715 N George Mason Dr, Arlington, VA 22205-3609 | 2020-09-22 |
| 1346897949 | Patrick Choate | Physical Therapist | 1715 N George Mason Dr, Arlington, VA 22205-3609 | 2019-08-20 |
| 1497291769 | Thomas Stormer | Physical Therapist | 1715 N George Mason Dr, Suite 503, Medical Offices C, Arlington, VA 22205-3609 | 2017-01-11 |
| 1962850685 | Maureen Bradley | Specialist | 1715 N George Mason Dr, Suite 503, Arlington, VA 22205-3609 | 2016-06-03 |
| 1952758591 | Dianne W Robbins | Specialist | 1715 N George Mason Dr, Suite 503, Arlington, VA 22205-3609 | 2016-05-24 |
| 1891142543 | Kelly Mcgraw | Specialist | 1715 N George Mason Dr, Suite 503, Arlington, VA 22205-3609 | 2016-05-23 |
| 1518314509 | Sharon Lynn Goldman | Specialist | 1715 N George Mason Dr, Suite 504, Arlington, VA 22205-3609 | 2016-05-19 |
| 1013394725 | Allergy Partners, Pa | Allergy & Immunology | 1715 N George Mason Dr, Suite 307, Arlington, VA 22205-3609 | 2015-05-01 |
| 1528475118 | Virginia Hospital Center Physician Group LLC | Internal Medicine | 1715 N George Mason Dr, Suite 409, Arlington, VA 22205-3609 | 2014-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417315722 | Ruth Jannet Figueroa Lopez | Dentist | Blvd Cucapah 19961-9, Ampliacion Loma Bonita, Tijuana, BAJA CALIFORNIA 22205 | 2016-02-01 |
| 1083004394 | Ashley Pullum | Behavioral Analyst | 874 N Nottingham St, Arlington, VA 22205 | 2015-01-26 |
| 1548601529 | Whitney C Pelton | Physical Therapist | 5910 Wilson Blvd, Sunrise Bluemont, Arlington, VA 22205 | 2013-07-08 |
| 1134490311 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 1625 N George Mason Drive Suite 345, Arlington, VA 22205 | 2012-01-20 |
| 1518269638 | Arle Zelma Samuels | Pharmacist | 5105 W1ilson Blvd, Arlington, VA 22205 | 2010-11-22 |
| 1255640686 | Geatenet G Wasia | Pharmacist | 4851 N Washington Blvd, Arlington, VA 22205 | 2010-10-04 |
| 1518272327 | Alexis S Speight | Counselor | 1725 North George Mason Dr., Arlington, VA 22205 | 2010-08-17 |
| 1821224437 | Myriam Ferzli | Obstetrics & Gynecology | 1635 N George Mason Dr Ste 190, Arlington, VA 22205 | 2009-06-09 |
| 1427232685 | United Rehab Inc. | Home Health | 1661 N. Longfellow Street, Arlington, VA 22205 | 2007-12-24 |
| 1144426404 | Teri E Minehart | Nurse Practitioner | 1701 No. George Mason Drive, Arlington, VA 22205 | 2007-06-25 |
| Find all providers in zip 22205 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760967095 | Optimal Pain & Regenerative Medicine, Pllc | Pain Medicine | 800 W Arbrook Blvd Ste 120, Arlington, TX 76015-4316 | 2018-10-02 |
| 1821549700 | Pain Management Physicians of Dallas, Pllc. | Pain Medicine | 301 Highlander Blvd Ste 101, Arlington, TX 76018-1164 | 2016-10-17 |
| 1568633840 | Park Row Medical Services Pllc | Pain Medicine | 801 W Park Row Dr, Arlington, TX 76013-3904 | 2008-03-14 |
| 1851447890 | Anthony T. Clavo Sr. | Pain Medicine | 400 W Arbrook Blvd Ste 120, Arlington, TX 76014 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215561493 | Margaret Ann Rickman | Pain Medicine | 80 College St Ste E, Christiansburg, VA 24073-2985 | 2020-02-27 |
| 1730749102 | Physical Medicine Associates, Ltd | Pain Medicine | 24560 Southpoint Drive, Ste. 120, Aldie, VA 20105 | 2019-06-18 |
| 1821561382 | Barton Joseph Adams | Pain Medicine | 1899 Oracle Way Apt 428, Reston, VA 20190-6735 | 2019-01-08 |
| 1114496734 | Coastal Virginia Spine and Pain Center LLC | Pain Medicine | 329 Edwin Dr Ste 100, Virginia Beach, VA 23462-4522 | 2018-11-14 |
| 1538427844 | Killpain LLC | Pain Medicine | 45929 Maries Road, Suite 100, Sterling, VA 20166 | 2012-04-25 |
| 1851617120 | Teresa Marie Kerge | Pain Medicine | 2549 Cowan Blvd, Fredericksburg, VA 22401-8440 | 2010-04-12 |
| 1114253366 | Spinal Atrs Institute, Pllc | Pain Medicine | 11412 Georgetown Pike, Great Falls, VA 22066-1316 | 2009-10-22 |
| 1538314208 | Qi Lin | Pain Medicine | 1356 Sir Richard Rd, Virginia Beach, VA 23455-4917 | 2008-11-22 |
| 1871767459 | Mark W Newman | Pain Medicine | 223 Bulifants Blvd Ste C, Williamsburg, VA 23188-5734 | 2008-04-15 |
| 1306940028 | Blue Ridge Pain Treatment Centers | Pain Medicine | 2034 Pro Pointe Ln, Harrisonburg, VA 22801-8021 | 2006-09-12 |
| Find all providers with the same taxonomy | ||||
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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.