Provider Demographics
NPI:1992187041
Name:NORTH SHORE PAIN MANAGEMENT
Entity Type:Organization
Organization Name:NORTH SHORE PAIN MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:S
Authorized Official - Last Name:FIELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:978-927-7246
Mailing Address - Street 1:900 CUMMINGS CTR
Mailing Address - Street 2:SUITE 221U
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-6198
Mailing Address - Country:US
Mailing Address - Phone:978-927-7246
Mailing Address - Fax:978-927-7249
Practice Address - Street 1:900 CUMMINGS CTR
Practice Address - Street 2:SUITE 221U
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-6198
Practice Address - Country:US
Practice Address - Phone:978-927-7246
Practice Address - Fax:978-927-7249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-25
Last Update Date:2017-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA7458380001OtherMEDICARE NSC
MA0019593OtherMEDICARE PTAN