Provider Type Icon

COMPREHENSIVE PAIN MANAGEMENT OF CENTRAL CONNECTICUT LLC NPI 1770776023


NPI Information

NPI: 1770776023
Provider Name: COMPREHENSIVE PAIN MANAGEMENT OF CENTRAL CONNECTICUT, LLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
440 NEW BRITAIN AVE
PLAINVILLE, CT
ZIP 06062
Phone: (860) 793-0500
Get Directions

COMPREHENSIVE PAIN MANAGEMENT OF CENTRAL CONNECTICUT, LLC is an interventional pain medicine pain medicine in Plainville, CT. The provider is 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. COMPREHENSIVE PAIN MANAGEMENT OF CENTRAL CONNECTICUT, LLC NPI is 1770776023. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

440 NEW BRITAIN AVE
PLAINVILLE, CT
ZIP 06062-016
Phone: (860) 793-0500
Fax: (860) 793-1116

The provider's authorized official is Eric D Grahling .
The authorized official title is Founder / Sole Practitioner and has the following contact phone number (860) 793-0500.

The enumeration date for this NPI number is 8/21/2007 and was last updated on 1/29/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0014XPain MedicineInterventional Pain Medicine045053CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1010045054CT02OTHERCONNECTICUTBCBS PROVIDER NUMBER-SOUTHINGTON
21770776023OTHERCONNECTICUTMEDICARE NPI
3C03745MEDICARE PINCONNECTICUT
4010045053CT01OTHERCONNECTICUTBCBS PROVIDER NUMBER- PLAINVILLE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.