SPINAL CARE PAIN ASSOCIATES, P.C. (NPI# 1245306489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245306489 |
| Entity Type | Organization |
| Organization Name | SPINAL CARE PAIN ASSOCIATES, P.C. |
| Practice Address |
2410 S Broad St 3rd Floor Philadelphia PA 19145-4418 |
| Practice Telephone | 2154626600 |
| Practice Fax Number | 2154622650 |
| Mailing Telephone | 2154626600 |
| Mailing Fax Number | 2154622650 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. GLENN MILLER (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2154626600 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | KEYSTONE MERCY | 30001785 | 01 |
| PA | US DEPT OF LABOR OWCP | 347886100 | 01 |
| PA | AMERICHOICE OF PENN | 93900 | 01 |
| PA | HEALTH PARTNERS | 22210 | 01 |
| PA | KEYSTONE EAST | 2100648000 | 01 |
| PA | AETNA | 2992866 | 01 |
| PA | ALL BLUE SHIELDS, AMERIHL | 1413937 | 01 |
| Street Address |
2410 S BROAD ST 3RD FLOOR |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19145-4418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689993339 | Robert Keith Moser | Physician Assistant | 2410 S Broad St, 3rd Floor, Philadelphia, PA 19145-4418 | 2010-05-20 |
| 1174697346 | Glenn Miller | Anesthesiology | 2410 S Broad St, 3rd Flr, Philadelphia, PA 19145-4418 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564350 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2300a Rear W Oregon Ave, Philadelphia, PA 19145 | 2020-10-05 |
| 1376069559 | Kyle James Hughes | Physical Therapist | 2192 W Oregon Ave Fl 3, Philadelphia, PA 19145 | 2017-08-18 |
| 1821519752 | John A Takacs Dmd | Clinic/Center | 1707w Passyunk Ave, Philadelphia, PA 19145 | 2017-06-30 |
| 1033573209 | Kenneth Donahue | Dentist | 1517 Packer Avenue, Philadelphia, PA 19145 | 2016-04-13 |
| 1437516895 | Kimberly Wyand | Physical Therapist | 2129 Oregon St, Philadelphia, PA 19145 | 2016-01-15 |
| 1760856538 | Liji Vipin | Nurse Practitioner | 1615 Oregon Ave, Philadelphia, PA 19145 | 2015-11-17 |
| 1528333846 | Gina Marie Doyle | Registered Nurse | 1930 S. Broad Street, Philadelphia, PA 19145 | 2012-03-20 |
| 1639446214 | Thao T Tran | Pharmacist | 2014-24 South Broad St, Philadelphia, PA 19145 | 2011-11-25 |
| 1649573171 | Phyllis Yang | Internal Medicine | 1700 S Broad St, Unit 201, Philadelphia, PA 19145 | 2010-12-05 |
| 1326364613 | South Philadelphia Open Mri, LLC | Clinic/Center | 1834 West Oregon Avenue, Philadelphia, PA 19145 | 2010-04-13 |
| Find all providers in zip 19145 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548214182 | Pain Care Institute | Pain Medicine | 6200 Frankford Ave, Philadelphia, PA 19135-3400 | 2006-05-19 |
| 1487928636 | Fox Chase Cancer Center Medical Group, Inc | Pain Medicine | 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 | 2012-03-06 |
| 1811275936 | Spinal Rehab and Pain Center | Pain Medicine | 4723 Pine St, Philadelphia, PA 19143-1831 | 2011-07-22 |
| 1831325455 | Michelle D Francavilla | Pain Medicine | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2009-06-10 |
| 1194960427 | Pain Management Physicians, LLC | Pain Medicine | 8019 Frankford Ave, Suite A, Philadelphia, PA 19136-2736 | 2008-12-16 |
| 1083677819 | Eric Rolf Ratner | Pain Medicine | 8019 Frankford Ave, Suite A, Philadelphia, PA 19136-2786 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063055200 | Sepa Lab - Bristol | Pain Medicine | 200 Rittenhouse Circle, Ste 1a East, Bristol, PA 19007-1619 | 2019-10-21 |
| 1033776257 | Restorative Pain Care LLC | Pain Medicine | 409 Portland Dr, Broomall, PA 19008-4120 | 2019-05-22 |
| 1104482850 | Keystone Pain Consultants & Interventional Spine Specialists PC | Pain Medicine | 2000 Oxford Dr Ste 303, Bethel Park, PA 15102-1841 | 2019-05-17 |
| 1891250767 | Regenerative Pain Specialist, PC | Pain Medicine | 725 Darby Paoli Rd, Villanova, PA 19085-1008 | 2019-02-05 |
| 1649766742 | Smr Pain Management | Pain Medicine | 213 Reeceville Rd Ste 10, Coatesville, PA 19320-1532 | 2018-07-02 |
| 1720463938 | Lancaster Medical Group, LLC | Pain Medicine | 233 College Ave Ste 101, Lancaster, PA 17603-3385 | 2015-07-29 |
| 1760725246 | Pittsburgh Pain Physicians | Pain Medicine | 119 Vip Dr Ste G015, Wexford, PA 15090-7976 | 2013-04-02 |
| 1417199217 | Kenneth Zahl | Pain Medicine | 175 E Brown St Ste 201b, E Stroudsburg, PA 18301-3098 | 2009-03-25 |
| 1316127376 | St. Luke's Physician Group, Inc. | Pain Medicine | 1534 Park Ave Ste 310, Quakertown, PA 18951-1087 | 2007-11-07 |
| 1922111764 | Erie Spine and Pain Management PC | Pain Medicine | 2620 Sigsbee Street, Erie, PA 16508 | 2006-08-16 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19145 |
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| 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.