VALLEY BACK & PAIN MANAGEMENT (NPI# 1417904319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417904319 |
| Entity Type | Organization |
| Organization Name | VALLEY BACK & PAIN MANAGEMENT |
| Practice Address |
1800 Byberry Rd Suite 1101 Huntingdon Valley PA 19006-3518 |
| Practice Telephone | 2159477992 |
| Practice Fax Number | 2159477969 |
| Mailing Telephone | 2159477992 |
| Mailing Fax Number | 2159477969 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2007-08-14 |
| Authorized Official Name | MARIE HENNIGAR (OFFICE MANAGER) |
| Authorized Official Telephone | 2159477992 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | AETNA | 2943603 | 01 |
| PA | IBC | 2091551000 | 01 |
| Street Address |
1800 BYBERRY RD SUITE 1101 |
| City | HUNTINGDON VALLEY |
| State | PA |
| Zip Code | 19006-3518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669441051 | Barbara Anne Taylor | Physical Therapist | 1800 Byberry Rd, Suite 705, Huntingdon Valley, PA 19006-3518 | 2006-03-16 |
| 1508294372 | Cameron Ciminera | Physical Therapy Assistant | 1800 Byberry Rd, Suite 705, Huntingdon Valley, PA 19006-3518 | 2013-10-14 |
| 1104100429 | Heather Mariotti | Physical Therapist | 1800 Byberry Rd, Suite 703, Huntingdon Valley, PA 19006-3518 | 2011-10-05 |
| 1982994950 | Joseph E Swoyer | Physical Therapist | 1800 Byberry Rd, Suite 703, Huntingdon Valley, PA 19006-3518 | 2011-04-12 |
| 1316246358 | Pro Medical Supplies, Inc. | Durable Medical Equipment & Medical Supplies | 1800 Byberry Rd, Unit 905, Huntingdon Valley, PA 19006-3518 | 2011-03-16 |
| 1346544202 | Lauren Slack Houser | Nurse Practitioner | 1800 Byberry Rd, Suite 703, Huntingdon Valley, PA 19006-3518 | 2011-01-06 |
| 1679756241 | Erik R. Olstad | Physician Assistant | 1800 Byberry Rd, Suite 705, Huntingdon Valley, PA 19006-3518 | 2007-12-06 |
| 1720107360 | Joseph Capriotti | Physician Assistant | 1800 Byberry Rd, Huntingdon Valley, PA 19006-3518 | 2007-03-28 |
| 1902930316 | Edward Schreiber | Preventive Medicine | 1800 Byberry Rd, Suite 705, Huntingdon Valley, PA 19006-3518 | 2007-03-15 |
| 1962544155 | Pog Pain Management Assc, LLC | Pain Medicine | 1800 Byberry Rd, Suite 1101, Huntingdon Valley, PA 19006-3518 | 2007-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349209 | Nicole Poncia Slp LLC | Speech-Language Pathologist | 2011 Williamsburg Rd., Huntingdon Valley, PA 19006 | 2020-06-04 |
| 1497248298 | Heavenly's Home Care LLC | In Home Supportive Care | 67 Buck Rd Ste B53, Huntingdon Valley, PA 19006 | 2018-06-07 |
| 1740721919 | Staton Health LLC | In Home Supportive Care | 111 Buck Rd, Unit 300, Suite 9, Huntingdon Valley, PA 19006 | 2017-03-20 |
| 1407204407 | Jacqueline Russak-loftus | Social Worker | 727 Old Welsh Rd, Huntington Valley, PA 19006 | 2016-05-31 |
| 1720490162 | Pennsylvania Home Care Assistance Agency, Inc | Case Management | 2600 Philmont Ave Ste 405, Huntingdon Valley, PA 19006 | 2014-05-20 |
| 1104255603 | Javad Mohsenian | Psychiatry & Neurology | 320 Moreland Road, Huntingdon Valley, PA 19006 | 2013-11-05 |
| 1013270123 | Donna Marie Salvucci | Psychologist | 521 Moredon Road, Holy Redeemer Counseling Clinic, Huntingdon Valley, PA 19006 | 2012-06-22 |
| 1962712125 | Dentex Dental Mobile, Inc | Dentist | 3035 Franks Rd, Huntingdon Valley, PA 19006 | 2010-10-20 |
| 1316255938 | Superior Ems Ambulance LLC | Ambulance | 85 C Tomlinson Road, Huntingdon Valley, PA 19006 | 2010-09-16 |
| 1194958777 | Leader Ambulance, Inc | Ambulance | 27 Tomlinson Road, Suite 203, Huntingdon Valley, PA 19006 | 2009-08-28 |
| Find all providers in zip 19006 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437106473 | Sb Pain Management Associates | Anesthesiology | 1800 Byberry Rd, Suite 1101, Huntingdon Valley, PA 19006-3518 | 2006-05-27 |
| 1417904459 | Gwm Pain Management Associates, LLC | Anesthesiology | 1800 Byberry Rd, Suite 1101, Huntingdon Valley, PA 19006-3518 | 2006-05-27 |
| 1902853047 | Delaware Valley Pain Management PC | Anesthesiology | 1800 Byberry Rd, Suite 1101, Huntingdon Valley, PA 19006-3518 | 2006-05-27 |
| 1831146661 | Mr Pain Management Associates PC | Anesthesiology | 1800 Byberry Rd, Suite 1101, Huntingdon Valley, PA 19006-3518 | 2006-05-27 |
| 1609834050 | Tri - County Pain Care P C | Anesthesiology | 3501 Masons Mill Rd, Suite 501, Huntingdon Valley, PA 19006-3517 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629630504 | Bac Medical, Pllc | Anesthesiology | 3070 Bristol Pike # 2-130, Bensalem, PA 19020-5364 | 2019-07-01 |
| 1285294983 | Thomas Falasca | Anesthesiology | 411 Sybil Dr, Erie, PA 16505-2152 | 2019-06-17 |
| 1144711235 | Amy L. Croushore | Anesthesiology | 5750 Centre Ave Ste 400, Pittsburgh, PA 15206-3761 | 2018-05-23 |
| 1023521598 | Michaela R Lewis | Anesthesiology | 333 State St Ste 104, Erie, PA 16507-1463 | 2017-11-07 |
| 1457704652 | Guthrie Medical Group, P.C. | Anesthesiology | 37 Pratt Avenue, Towanda, PA 18848 | 2016-07-22 |
| 1932518669 | Pharo Pain Management Asociates, P.C. | Anesthesiology | 829 Spruce St Ste 308, Philadelphia, PA 19107-5752 | 2014-08-06 |
| 1457786253 | Lighthouse Medical, LLC | Anesthesiology | 507 Tire Hill Rd, Suite 100, Johnstown, PA 15905-7311 | 2013-09-11 |
| 1992137103 | Anish Sethi | Anesthesiology | 834 Chestnut St Ste T150, Philadelphia, PA 19107 | 2013-07-30 |
| 1528407392 | Soon Yong Jung | Anesthesiology | 1240 S Cedar Crest Blvd Ste 307, Allentown, PA 18103-6263 | 2013-06-14 |
| 1316381155 | Beacon Medical, LLC | Anesthesiology | 136 Jaycee Dr, Suite 10, Johnstown, PA 15904-3650 | 2013-04-23 |
| Find all providers with the same taxonomy | ||||
| City | HUNTINGDON VALLEY |
| Zip Code | 19006 |
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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.