A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Addiction Medicine |
207QA0401X | 08 | Physician/Family Practice | |
Anesthesiology |
207L00000X | 79 | Physician/Addiction Medicine | |
Clinical Medical Laboratory |
291U00000X | 69 | Clinical Laboratory | |
Group Psychotherapy |
103TP2701X | 62 | Psychologist, Clinical | |
Interventional Pain Medicine |
208VP0014X | 09 | Physician/Interventional Pain Management | |
Medical |
363AM0700X | 97 | Physician Assistant | |
Nurse Anesthetist, Certified Registered |
367500000X | 43 | Certified Registered Nurse Anesthetist (CRNA) | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Pain Medicine |
2081P2900X | 25 | Physician/Physical Medicine and Rehabilitation | |
Pain Medicine |
207LP2900X | 05 | Physician/Anesthesiology | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner | |
Social Worker |
104100000X |
| NPI Number | 1003157108 |
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| LBN Legal business name | PINEWOOD PROFESSIONALS, LLC | ||||
| Authorized official | STEPHANIE CAUCIS - (COO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 03/14/2013 | ||||
| Last updated | 12/12/2014 - About 11 years ago | ||||
| Identifiers |
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