CENTER FOR PAIN MEDICINE PC (NPI# 1841277464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841277464 |
| Entity Type | Organization |
| Organization Name | CENTER FOR PAIN MEDICINE PC |
| Practice Address |
2010 Old West Chester Pike Ste. 330 Havertown PA 19083-2712 |
| Mailing Address |
Po Box 8500-4066 Philadelphia PA 19718-4066 |
| Practice Telephone | 6107898070 |
| Mailing Telephone | 3027094497 |
| Mailing Fax Number | 3027330854 |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2007-07-19 |
| Authorized Official Name | WILLIAM GOLDSTEIN (CO-OWNER) |
| Authorized Official Telephone | 6107898070 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
MD027057E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 1000014095 | 05 | |
| PA | 0019015850004 | 05 |
| Street Address |
2010 OLD WEST CHESTER PIKE STE. 330 |
| City | HAVERTOWN |
| State | PA |
| Zip Code | 19083-2712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619979234 | Beth Ann La Bella | Nurse Anesthetist, Certified Registered | 2010 Old West Chester Pike, Suite 330, Havertown, PA 19083 | 2005-08-12 |
| 1174799340 | Pinnacle Mid-atlantic Pain Medicine, PC | Anesthesiology | 2010 Old West Chester Pike, Suite 330, Havertown, PA 19083 | 2008-05-07 |
| 1326217050 | Summer M Craddock | Nurse Anesthetist, Certified Registered | 2010 Old West Chester Pike, Suite 330, Havertown, PA 19083 | 2008-02-27 |
| 1194801712 | Kimberly Medwid | Nurse Anesthetist, Certified Registered | 2010 Old West Chester Pike, Havertown, PA 19083 | 2006-10-27 |
| 1154363810 | Savita Kala | Anesthesiology | 2010 Old West Chester Pike, Suite 330, Havertown, PA 19083 | 2006-06-10 |
| 1871573295 | Mary Ann Lucas | Nurse Anesthetist, Certified Registered | 2010 Old West Chester Pike, Suite 330, Havertown, PA 19083 | 2006-01-20 |
| 1679557573 | Nicholas Falsone | Nurse Anesthetist, Certified Registered | 2010 Old West Chester Pike, Ste 330, Havertown, PA 19083-2712 | 2005-12-04 |
| 1669454922 | Debora Lokken | Nurse Anesthetist, Certified Registered | 2010 Old West Chester Pike, Ste 330, Havertown, PA 19083 | 2005-11-14 |
| 1780674226 | Shruthi N Jayaram | Anesthesiology | 2010 Old West Chester Pike, Suite 330, Havertown, PA 19083-2712 | 2005-10-26 |
| 1932198264 | Diane Rossi | Nurse Anesthetist, Certified Registered | 2010 Old West Chester Pike, Ste 33d, Havertown, PA 19083 | 2005-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043835457 | Kelly Anne Clarke | Counselor | American Treatment Network Physician & Associates, 1120 Township Line Road, Havertown, PA 19083 | 2020-06-11 |
| 1588216238 | Angela Wrolstad | Registered Nurse | 614 Darby Road, Havertown, PA 19083 | 2019-07-12 |
| 1639696214 | Osaru Anyumba | Case Manager/Care Coordinator | 311 Lansdowne Road, Havertown, PA 19083 | 2017-08-24 |
| 1346762739 | Luke Francis Mattson | Pharmacist | 60 West Hillcrest Avenue, Havertown, PA 19083 | 2017-07-07 |
| 1124558150 | Clare M Chakey | Counselor | 1631 Ridgeway Road, Haventown, PA 19083 | 2017-06-13 |
| 1205382553 | Silverware Home Care Service LLC | Residential Treatment Facility, Physical Disabilities | 2010 Wester Chester Pike, Suite 448, Havertown, PA 19083 | 2016-08-28 |
| 1275903486 | Megan Keeley Ramaika | Dietitian, Registered | 404 Fairmont Road, Havertown, PA 19083 | 2015-09-30 |
| 1972987246 | Katie Paugh | Occupational Therapist | One North Belfield Avenue, Havertown, PA 19083 | 2015-07-16 |
| 1497140180 | Total Health Home Care Corporation | Nurse's Aide | 2710 West Township Line Rd, Havertown, PA 19083 | 2015-03-31 |
| 1851704084 | Ul Sik Jason Chong | Pharmacist | 700 East Townshipline Road Ste Ll, Havertown, PA 19083 | 2014-06-05 |
| Find all providers in zip 19083 | ||||
| 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 |
|---|---|---|---|---|
| 1598056293 | Shawn K Puri | Anesthesiology | 700 E Township Line Rd, Havertown, PA 19083-5733 | 2011-04-28 |
| 1174799340 | Pinnacle Mid-atlantic Pain Medicine, PC | Anesthesiology | 2010 Old West Chester Pike, Suite 330, Havertown, PA 19083 | 2008-05-07 |
| 1750320461 | Miteswar Purewal | Anesthesiology | 700 E Township Line Rd, First Floor, Havertown, PA 19083-5733 | 2006-06-06 |
| 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 |
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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.