PROGRESSIVE PAIN SOLUTIONS LLC (NPI# 1831265222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831265222 |
| Entity Type | Organization |
| Organization Name | PROGRESSIVE PAIN SOLUTIONS LLC |
| Other Organization Name | KENNETH P SUN MD |
| Practice Address |
382 Epps St Wind Gap PA 18091 |
| Mailing Address |
Po Box 266 382 Epps St Progressive Pain Solutions LLC Wind Gap PA 18091 |
| Practice Telephone | 6108638598 |
| Practice Fax Number | 6108630267 |
| Mailing Telephone | 6108638598 |
| Mailing Fax Number | 6108630267 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2012-08-01 |
| Authorized Official Name | KENNETH P SUN (MANAGING MEMBER) |
| Authorized Official Telephone | 6108638598 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
25MA06318400 | NJ | Allopathic & Osteopathic Physicians |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
MD056132L | PA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Kenneth P Sun MD | Former Legal Business Name - Organization |
| Street Address |
382 EPPS ST |
| City | WIND GAP |
| State | PA |
| Zip Code | 18091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881693109 | Kenneth P Sun | Anesthesiology | 382 Epps St, Box 266, Wind Gap, PA 18091-9717 | 2005-07-19 |
| 1417915588 | Chigozie L Ibe | Physician Assistant | 382 Epps St, Wind Gap, PA 18091-9717 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306332473 | Life Change Health P.C. | Family Medicine | 497 Bushkill Plaza Ln Ste B, Wind Gap, PA 18091 | 2018-07-02 |
| 1922105428 | Pennsylvania Cvs Pharmacy LLC | Pharmacy | 855 S Broadway, Wind Gap, PA 18091 | 2006-09-19 |
| 1770678229 | Mark Wright Powell | Family Medicine | 487 E. Moorestown Rd, #101, Wind Gap, PA 18091-0386 | 2006-10-03 |
| 1669520714 | James Michael Dillon | Pharmacist | 855 N Broadway, Wind Gap, PA 18091-1116 | 2007-01-08 |
| 1215382585 | Zachary Savercool | Specialist/Technologist | 275 E Center St, Wind Gap, PA 18091-1223 | 2016-04-25 |
| 1598815466 | Wind Gap Ambulance Corps Inc | Ambulance | 547 E West St, Wind Gap, PA 18091-1255 | 2007-01-11 |
| 1730135583 | Bio-medical Applications of Pennsylvania, Inc. | Clinic/Center | 525 E West St, Kidney Treatment Center of Slatebelt - Ckd Services, Wind Gap, PA 18091-1255 | 2006-05-25 |
| 1811165160 | Fresenius Medical Care Comprehensive Ckd Services Inc | Clinic/Center | 525 E West St, Ckd Services of Slatebelt, Wind Gap, PA 18091-1255 | 2008-02-20 |
| 1902901291 | Bio-medical Applications of Pennsylvania Inc | Clinic/Center | 525 E West St, Wind Gap, PA 18091-1255 | 2006-09-13 |
| 1639203938 | Diana M Giovagnoli | Social Worker | 122 N Broadway, Wind Gap, PA 18091-1274 | 2007-03-16 |
| Find all providers in zip 18091 | ||||
| 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 | ||||
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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.