COTTMAN & CASTOR PAIN MANAGEMENT (NPI# 1629201314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629201314 |
| Entity Type | Organization |
| Organization Name | COTTMAN & CASTOR PAIN MANAGEMENT |
| Practice Address |
1934 Cottman Ave Philadelphia PA 19111-3817 |
| Practice Telephone | 2157457970 |
| Practice Fax Number | 2157457972 |
| Mailing Telephone | 2157457970 |
| Mailing Fax Number | 2157457972 |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2010-10-14 |
| Authorized Official Name | DR. KEVIN ANTHONY CHAVARRIA SR. (PHYSICIAN) |
| Authorized Official Telephone | 2157457970 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
MD044909E | PA | Allopathic & Osteopathic Physicians |
| Street Address |
1934 COTTMAN AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19111-3817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036026 | Grace Agency Incorporated | Home Health | 433 Longshore Ave, Philadelphia, PA 19111 | 2020-09-08 |
| 1124517750 | Dana Christine Campetti | Physician Assistant | 700 Cottman Ave Ste 201, Philadelphia, PA 19111 | 2018-05-09 |
| 1235654286 | Dorotea Mutabdzic | Surgery | Fox Chase Cancer Center, 333 Cottman Ave, Dept of Surgical Oncology, Philadelphia, PA 19111 | 2017-08-11 |
| 1952841041 | Personal Care Home C&g | Point of Service | 6176 Newtown Ave, Philadelphia, PA 19111 | 2017-03-08 |
| 1477006849 | Fox Chase Cancer Center | Clinic/Center | 333 Cottman Ave., Philadelphia, PA 19111 | 2016-08-02 |
| 1578927521 | Peter Whooley | Student in an Organized Health Care Education/Training Program | Temple University/fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111 | 2016-04-06 |
| 1043673783 | Matthew Holzerman | Physical Therapy Assistant | 1148 Tabor Plz, Philadelphia, PA 19111 | 2016-03-31 |
| 1831563329 | Aging With Care Inc | Home Health | 1614 Loney St, Philadelphia, PA 19111 | 2015-11-20 |
| 1043687551 | Kenneth Marsaglia II | Preventive Medicine | 8414 Bridle Road, Philadelphia, PA 19111 | 2015-09-01 |
| 1700220514 | Lorraine A Tauriello | Counselor | 716 Ripley St, Philadelphia, PA 19111 | 2013-04-23 |
| Find all providers in zip 19111 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821503038 | Philly Newlife Suboxone Clinics | Family Medicine | 3477 Saint Vincent St, Philadelphia, PA 19149-1628 | 2017-12-11 |
| 1740570886 | Germantown Pain Management & Physical Therapy | Family Medicine | 6334 Germantown Ave, Philadelphia, PA 19144-1935 | 2011-04-11 |
| 1992948038 | Frankford Medical and Pain Management LLC | Family Medicine | 4911 Frankford Ave, Philadelphia, PA 19124-2617 | 2009-04-17 |
| 1861921389 | Vine Street Medical and Associates | Family Medicine | 6323 Vine St, Philadelphia, PA 19139-1032 | 2017-06-08 |
| 1477731974 | Judith Prophete | Family Medicine | 5000 Parkside Ave, Philadelphia, PA 19131-4714 | 2008-02-06 |
| 1033309497 | Sylvia Alfreda Webster | Family Medicine | 112 N Broad St, Rm 821, Philadelphia, PA 19102-1510 | 2007-07-31 |
| 1710109608 | Aviva Fohrer | Family Medicine | 5000 Parkside Ave, Philadelphia, PA 19131-4714 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851958763 | Hope Recovery Services LLC | Family Medicine | 200 Mcknight Park Dr Ste 201, Pittsburgh, PA 15237-6507 | 2019-05-27 |
| 1992281125 | Aurora Recovery Services, LLC | Family Medicine | 993 Brodhead Rd Ste 201, Moon Twp, PA 15108 | 2018-07-11 |
| 1447609565 | Recovery Care LLC | Family Medicine | 2057 State Route 130 # 3, Jeannette, PA 15644-3801 | 2016-06-09 |
| 1366806358 | Victory Life Health Services | Family Medicine | 95 E High St Ste 104, Waynesburg, PA 15370-1853 | 2016-04-06 |
| 1154662062 | William Francis Hushion I | Family Medicine | 1066 Putnam Blvd, Wallingford, PA 19086-6747 | 2013-03-04 |
| 1649584459 | Meridian Recovery Services Inc | Family Medicine | 2626 Sigsbee St, Erie, PA 16508-1721 | 2010-08-04 |
| 1265754998 | Amc Health | Family Medicine | 2626 Sigsbee Street, Erie, PA 16508-1808 | 2010-02-22 |
| 1144460544 | James Lee Ferguson Jr. | Family Medicine | 100 Highpoint Dr, Suite 102, Chalfont, PA 18914-3926 | 2009-02-24 |
| 1356597850 | Rudolph Edward Merick | Family Medicine | 24 Beech Hills Rd, Jeannette, PA 15644-6601 | 2008-08-15 |
| 1538328927 | Staci Botwin Mulcahy | Family Medicine | 310 Stoke Park Rd, Bethlehem, PA 18017-9429 | 2008-06-02 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19111 |
Please comment or provide details below to improve the information on COTTMAN & CASTOR PAIN MANAGEMENT.
| 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.