PRECISION PAIN MANAGEMENT CENTER, P.C. (NPI# 1093870024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093870024 |
| Entity Type | Organization |
| Organization Name | PRECISION PAIN MANAGEMENT CENTER, P.C. |
| Practice Address |
2325 Maryland Rd Suite 200 Willow Grove PA 19090-1704 |
| Practice Telephone | 2156579393 |
| Mailing Telephone | 2156579393 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-05-11 |
| Authorized Official Name | DR. BRADLEY J. FERRARA (PRESIDENT) |
| Authorized Official Telephone | 2156579393 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | PA | Chiropractic Providers | |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
MD067744 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK - DR. EAGAN | 001652570 | 01 |
| PA | KEYSTONE GRP DR. FERRARA | 2791607000 | 01 |
| PA | KEYSTONE GRP DR. EAGAN | 2795219000 | 01 |
| PA | NPI# DR. FERRARA | 1205883139 | 01 |
| PA | KEYSTONE INDIVIDUAL ID# | 0872975000 | 01 |
| PA | NPI# DR. EAGAN | 1386758670 | 01 |
| PA | CIGNA ASHN DR. EAGAN | 1062226 | 01 |
| PA | KEYSTONE INDV # DR. EAGAN | 2329279000 | 01 |
| PA | CIGNA DR. EAGAN | 7402268 | 01 |
| PA | CIGNA DR. FERRARA | 1231975 | 01 |
| PA | 00950467 | 00950467 | 01 |
| Street Address |
2325 MARYLAND RD SUITE 200 |
| City | WILLOW GROVE |
| State | PA |
| Zip Code | 19090-1704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922065978 | Corey J Grink | Chiropractor | 2325 Maryland Rd, Suite 200, Willow Grove, PA 19090-1749 | 2006-04-26 |
| 1861872350 | Beabb | Chiropractor | 2325 Maryland Rd, Suite 200, Willow Grove, PA 19090-1749 | 2015-06-01 |
| 1669726907 | Denise O'hara | Nurse Practitioner | 2325 Maryland Rd, Willow Grove, PA 19090-1749 | 2012-11-08 |
| 1912159526 | Brian Greg Epstein | Chiropractor | 2325 Maryland Rd, Suite 200, Willow Grove, PA 19090-1749 | 2008-10-14 |
| 1659572337 | Brad Craig Klein | Psychiatry & Neurology | 2325 Maryland Rd, Suite 120, Willow Grove, PA 19090-1758 | 2007-05-30 |
| 1255549713 | John Safa Khoury | Psychiatry & Neurology | 2325 Maryland Rd, Suite 120, Willow Grove, PA 19090-1749 | 2007-05-18 |
| 1356422182 | Jennifer M Pinto | Physician Assistant | 2325 Maryland Rd, Willow Grove, PA 19090-1749 | 2006-10-18 |
| 1659472595 | Laurie E Knepper | Psychiatry & Neurology | 2325 Maryland Rd, Suite 120, Willow Grove, PA 19090-1749 | 2006-09-25 |
| 1679670129 | James Murray Burke Jr. | Psychiatry & Neurology | 2325 Maryland Rd, Suite 120, Willow Grove, PA 19090-1749 | 2006-09-19 |
| 1295832723 | David C Weisman | Psychiatry & Neurology | 2325 Maryland Rd, Suite 120, Willow Grove, PA 19090-1749 | 2006-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073122495 | Orna Kempler Azulay | Speech-Language Pathologist | 3515 W Moreland Rd, Willow Grove, PA 19090 | 2020-07-31 |
| 1396205654 | Randi Lynn Murat | Physical Therapist | 2500 W Moreland Rd Ste 2103, Willow Grove, PA 19090 | 2019-03-22 |
| 1780173690 | Garden Spring Center Snf LLC | Skilled Nursing Facility | 1113 North Easton Road, Willow Grove, PA 19090 | 2018-05-07 |
| 1740778976 | Dean Depice | Chiropractor | 1031 North York Rd, Willow Grove, PA 19090 | 2018-04-24 |
| 1679081095 | Darnell Marie Lorick | Registered Nurse | 1553 Rothley Ave, Willow Grove, PA 19090 | 2018-01-19 |
| 1750809364 | Eileen Black | Counselor | 4 Neshaminy Interplex Suite 202, Trevose, PA 19090 | 2017-09-03 |
| 1538615760 | Sarah Herstich | Social Worker | 208 N Easton Rd, Willow Grove, PA 19090 | 2016-08-28 |
| 1902252091 | Christina Amodei | Physical Therapist | 2519 Maryland Rd #250, Willowgrove, PA 19090 | 2016-05-09 |
| 1568838340 | Insights Counseling & Consulting LLC | Counselor | 2300 Computer Ave., C13, Willow Grove, PA 19090 | 2015-08-17 |
| 1376949016 | Courtney M Dedda | Physical Therapist | 1003 Easton Rd Ste 105c, Willow Grove, PA 19090 | 2014-11-07 |
| Find all providers in zip 19090 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902219702 | Kyle Matthew Weiss | Physical Medicine & Rehabilitation | 501 Cetronia Rd Ste 125, Allentown, PA 18104-9569 | 2014-06-09 |
| 1558771089 | Christian Boris Acharte | Physical Medicine & Rehabilitation | 700 Horizon Circle Ste 206, Chalfont, PA 18914-3967 | 2014-05-06 |
| 1649618349 | David Stephen Mills | Physical Medicine & Rehabilitation | 8775 Norwin Ave Ste 108, North Huntingdon, PA 15642 | 2013-06-05 |
| 1306184858 | Lighthouse Medical, LLC | Physical Medicine & Rehabilitation | 301 E. Pleasant Valley Blvd, Altoona, PA 16602 | 2013-01-17 |
| 1710243787 | Alcinto Steven Guirand | Physical Medicine & Rehabilitation | 1450 Scalp Ave Ste 2100, Johnstown, PA 15904-3374 | 2012-04-04 |
| 1578848651 | Performance Spine and Sports Medicine of Newtown, LLC | Physical Medicine & Rehabilitation | 828 Newtown Yardley Road, A, Newtown, PA 18940 | 2011-10-20 |
| 1588974588 | Greater Philadelphia Pain Management Center PC | Physical Medicine & Rehabilitation | 104 Bailey Dr, North Wales, PA 19454-4526 | 2010-10-12 |
| 1245545813 | Maureen Murphy Ginsburg | Physical Medicine & Rehabilitation | 551 W Mahoning St, Punxsutawney, PA 15767 | 2010-08-08 |
| 1205071297 | Bethia A. Cawley | Physical Medicine & Rehabilitation | 2804 Southampton Rd, Philadelphia, PA 19154-1207 | 2008-12-05 |
| 1891953188 | Paris Hughes | Physical Medicine & Rehabilitation | 2447 N 54th St, Philadelphia, PA 19131-2423 | 2008-05-23 |
| Find all providers with the same taxonomy | ||||
| City | WILLOW GROVE |
| Zip Code | 19090 |
Please comment or provide details below to improve the information on PRECISION PAIN MANAGEMENT CENTER, P.C..
| 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.