GREATER PHILADELPHIA PAIN MANAGEMENT CENTER PC (NPI# 1588974588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588974588 |
| Entity Type | Organization |
| Organization Name | GREATER PHILADELPHIA PAIN MANAGEMENT CENTER PC |
| Practice Address |
104 Bailey Dr North Wales PA 19454-4526 |
| Mailing Address |
2612 Rhawn St Philadelphia PA 19152-3415 |
| Practice Telephone | 2159626031 |
| Practice Fax Number | 2159575401 |
| Mailing Telephone | 2153388555 |
| Mailing Fax Number | 2153388031 |
| Enumeration Date | 2010-10-12 |
| Last Update Date | 2011-05-19 |
| Authorized Official Name | GENE LEVINSTEIN (PHYSICIAN) |
| Authorized Official Telephone | 2159575400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
MD425455 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | KEYSTONE/PC | 0872975000 | 01 |
| PA | HIGHMARK | 950467 | 01 |
| Street Address |
104 BAILEY DR |
| City | NORTH WALES |
| State | PA |
| Zip Code | 19454-4526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295258960 | Stephanie Dalzon | Contractor | 700 Lower State Rd Apt Th20, North Wales, PA 19454 | 2017-07-24 |
| 1457723611 | Stacey Kirchein | Dietitian, Registered | 700 Lower State Rd, Apt 18a1, North Wales, PA 19454 | 2015-10-28 |
| 1902289713 | Nani Rivera-cox | Marriage & Family Therapist | 217 Church Road, North Wales, PA 19454 | 2015-06-30 |
| 1104254812 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 167 Montgomery Mall, North Wales, PA 19454 | 2013-10-16 |
| 1023367323 | Wholistics / Wholistic Fitness LLC | Psychologist | 217 Church Rd Suite B, North Wales, PA 19454 | 2012-08-31 |
| 1396075925 | Mary M Oconnor | Occupational Therapist | 102 West Walnut St., North Wales Hand Rehabilitation, North Wales, PA 19454 | 2010-01-04 |
| 1104155050 | Laurie F Langbein | Counselor | 101 Chamberlain Cir, North Wales, PA 19454 | 2009-12-23 |
| 1235397225 | Jennifer Gail Duncan | Dentist | 298 Wissahickon Avenue, Suite 3, North Wales, PA 19454 | 2008-05-28 |
| 1811101967 | Angel Wahib Elbardissi | Dentist | 210 Stump Rd, North Wales, PA 19454 | 2007-05-09 |
| 1336361963 | Arlene M. Lavner | Counselor | 1233 Laura Lane, North Wales, PA 19454 | 2007-05-03 |
| Find all providers in zip 19454 | ||||
| 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 |
| 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 |
| 1932382595 | Lighthouse Medical, LLC | Physical Medicine & Rehabilitation | 301 E. Pleasant Valley Blvd., Altoona, PA 16602 | 2007-12-06 |
| Find all providers with the same taxonomy | ||||
| City | NORTH WALES |
| Zip Code | 19454 |
Please comment or provide details below to improve the information on GREATER PHILADELPHIA PAIN MANAGEMENT CENTER PC.
| 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.