PREMIER INTERVENTIONAL PAIN OF DELAWARE LLC


Address: 701 N Clayton St, Wilmington, DE 19805-3165
Phone: 7706435501

PREMIER INTERVENTIONAL PAIN OF DELAWARE LLC (NPI# 1962825497) 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) 1962825497
Entity Type Organization
Organization Name PREMIER INTERVENTIONAL PAIN OF DELAWARE LLC
Practice Address 701 N Clayton St
Wilmington
DE 19805-3165
Mailing Address 2655 Northwinds Pkwy
Alpharetta
GA 30009-2280
Practice Telephone 7706435501
Practice Fax Number 4049411304
Mailing Telephone 7706435501
Mailing Fax Number 4049411304
Enumeration Date 2014-02-04
Last Update Date 2014-02-05
Authorized Official Name KERRY TEEL (PRESIDENT)
Authorized Official Telephone 7706435501
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 204E00000X Oral & Maxillofacial Surgery Allopathic & Osteopathic Physicians
N 207L00000X Anesthesiology Allopathic & Osteopathic Physicians
N 207LP2900X Anesthesiology
Specialization: Pain Medicine
Allopathic & Osteopathic Physicians
N 208VP0000X Pain Medicine
Specialization: Pain Medicine
Allopathic & Osteopathic Physicians
N 367500000X Nurse Anesthetist, Certified Registered Physician Assistants & Advanced Practice Nursing Providers
N 367H00000X Anesthesiologist Assistant Physician Assistants & Advanced Practice Nursing Providers
Y 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 701 N CLAYTON ST
City WILMINGTON
State DE
Zip Code 19805-3165

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295738896 St. Francis Hospital,inc. General Acute Care Hospital 701 N Clayton St, Wilmington, DE 19805-3165 2005-05-27
1316544976 Northstar Anesthesia of Delaware, LLCs Nurse Anesthetist, Certified Registered 701 N Clayton St, Wilmington, DE 19805-3165 2020-10-07
1952917486 Krista Worden Physician Assistant 701 N Clayton St, Wilmington, DE 19805-3165 2020-09-21
1790391183 St Francis Hospital Inc Ambulance 701 N Clayton St, Wilmington, DE 19805-3165 2020-09-21
1669093720 Sergio Lino Ramirez Student in an Organized Health Care Education/Training Program 701 N Clayton St, Wilmington, DE 19805-3165 2020-04-29
1376163469 Jared Genett Physician Assistant 701 N Clayton St, Wilmington, DE 19805-3165 2020-04-20
1295364636 Kateryna Branish Student in an Organized Health Care Education/Training Program 701 N Clayton St, Wilmington, DE 19805-3155 2020-04-07
1467081968 Victoria Barg Student in an Organized Health Care Education/Training Program 701 N Clayton St, Wilmington, DE 19805-3155 2020-04-06
1275162760 Ashley Vertente Student in an Organized Health Care Education/Training Program 701 N Clayton St, Wilmington, DE 19805-3155 2020-04-06
1629607593 Judith Mensah-panford Student in an Organized Health Care Education/Training Program 701 N Clayton St, Wilmington, DE 19805-3155 2020-04-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043854359 Balanced Life Counseling, LLC Social Worker 1621 Howland Street, Wilmington, DE 19805 2019-10-30
1376050468 Chelsey Bayles Counselor 3700 Lancaster Pike, Suite 305, Wilmington, DE 19805 2018-01-10
1629594098 Laura Sullivan-holland Registered Nurse 2713 Lancaster Avenue, Wilmington, DE 19805 2017-08-17
1013362151 Arthur Andrew Dermen Student in an Organized Health Care Education/Training Program 701 North Clayton St, St Francis Hospital - Dept of Family Medicine, Wilmington, DE 19805 2016-04-26
1689031262 Ivps of Delaware Specialist 1305 Kirkwood Highway, Wilmington, DE 19805 2016-01-27
1043689110 Vitality Chiropractic and Rehabilitation Center Chiropractor 807 N Union Street, Wilmington, DE 19805 2015-09-18
1508259425 Karlou Michael Cartwright Nurse Practitioner 1100 South Broom St, Wilmington, DE 19805 2015-03-17
1629494737 Jennie Strickler Registered Nurse 1902 A Maryland Ave., Wilmington, DE 19805 2014-03-13
1487912119 Jamie Johnson Gellock Family Medicine 1802 W 4th Street, Wilmington, DE 19805 2012-05-01
1992089007 Abigail Triemstra Speech-Language Pathologist 1502 Spruce Avenue, Wilmington, DE 19805 2011-10-07
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Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558366385 Sunil K Arora Pain Medicine 1602 Physicians Dr, Suite 103, Wilmington, NC 28401-7363 2005-06-17
1528063542 Center for Pain Management Pllc Pain Medicine 1602 Physicians Dr Ste 103, Wilmington, NC 28401-7350 2005-06-16
1770122764 First State Pharmacy Pain Medicine 405 Silverside Rd Ste 104, Wilmington, DE 19809-1768 2019-12-23
1093164410 North American Spine & Pain Consultants LLC Naspac Pain Medicine 1600 Pennsylvania Ave, Wilmington, DE 19806-4047 2016-06-07
1730521360 Tristate Interventional Pain and Wellness Center LLC Pain Medicine 2601 Annand Dr, Suite 3, Wilmington, DE 19808-3719 2013-07-24
1780955112 Cowan Chiropractic and Rehabilitation Pain Medicine 536 Greenhill Ave, Wilmington, DE 19805-1851 2012-01-17
1104980770 Mid-atlantic Pain Institute, P.a. Pain Medicine 1806 N Van Buren St, Suite 110, Wilmington, DE 19802-3851 2006-12-20
1265437008 John H Knab Pain Medicine 1602 Physicians Dr, Ste 103, Wilmington, NC 28401-7350 2005-06-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1588146864 Living Pain Free People, LLC Pain Medicine 412 Capitol Trl, Newark, DE 19711-3865 2018-09-03
1174933907 Delaware Spine Center Pain Medicine 101 Becks Woods Dr, Suite 100, Bear, DE 19701-3854 2014-05-01
1942638085 Ark Pain Management, LLC Pain Medicine 430 Christiana Medical Ctr, Newark, DE 19702-1654 2013-10-29
1457499873 Pain Center of Delaware Pain Medicine 17274 Coastal Hwy, Suite 2, Lewes, DE 19958-6210 2007-02-01
1487718763 Mid-atlantic Pain Institute, P.a. Pain Medicine 100 Biddle Ave, Suite 101, Newark, DE 19702 2006-12-20
1508876848 Frank John Falco Pain Medicine 100 Biddle Ave, Suite 101, Newark, DE 19702-3981 2006-08-09
1831148410 Mid-atlantic Pain Institute, P.a. Pain Medicine 100 Biddle Ave, Suite 101, Newark, DE 19702-3981 2006-05-09

Competitor

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City WILMINGTON
Zip Code 19805

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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