Blayne N Anderson (NPI# 1922292705, PAC ID# 0941378442) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1922292705 |
| PAC ID by PECOS | 0941378442 |
| Professional Enrollment ID | I20081010000503 |
| Full Name | Blayne N Anderson |
| Organization Legal Name | PAIN DIAGNOSTICS AND INTERVENTIONAL CARE LLC |
| Address |
301 Ohio River Blvd Suite 203 Sewickley PA 15143-1300 |
| Phone Number | 4122217640 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6103050570 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390036 | HERITAGE VALLEY BEAVER |
| 390037 | HERITAGE VALLEY SEWICKLEY |
| Address | Phone | Organization |
|---|---|---|
| 301 Ohio River Blvd, Suite 203, Sewickley, PA 15143-1300 | 4122217640 | PAIN DIAGNOSTICS AND INTERVENTIONAL CARE LLC |
| Organization Legal Name | PAIN DIAGNOSTICS AND INTERVENTIONAL CARE LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Llee Z Janicki | Physician Assistant | Pain Diagnostics and Interventional Care LLC | 301 Ohio River Blvd, Suite 203, Sewickley, PA 15143-1300 |
| David Anthony Provenzano | Interventional Pain Management | Pain Diagnostics and Interventional Care LLC | 301 Ohio River Blvd, Suite 203, Sewickley, PA 15143-1300 |
| Street Address |
301 OHIO RIVER BLVD SUITE 203 |
| City | SEWICKLEY |
| State | PA |
| Zip | 15143-1300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Troiano | Anesthesiology | M and T Ultrasound Inc | 301 Ohio River Blvd, Sewickley, PA 15143-1300 |
| Mariann Cavanaugh Mcelwain | Otolaryngology | Ent and Allergy Specialists of Western Pa PC | 301 Ohio River Blvd, Sewickley, PA 15143-1300 |
| Kristine R Santerini | Obstetrics/gynecology | Premier Women's Health | 301 Ohio River Blvd, Suite 301, Sewickley, PA 15143-1300 |
| Janet M Kossol | Diagnostic Radiology | Premier Women's Health | 301 Ohio River Blvd, Suite 301, Sewickley, PA 15143-1300 |
| Noah P Rahm | Psychologist, Clinical | 301 Ohio River Blvd, Suite 304, Sewickley, PA 15143-1300 | |
| Llee Z Janicki | Physician Assistant | Pain Diagnostics and Interventional Care LLC | 301 Ohio River Blvd, Suite 203, Sewickley, PA 15143-1300 |
| Lauren Carmen | Qualified Audiologist | Ent and Allergy Specialists of Western Pa PC | 301 Ohio River Blvd, Sewickley, PA 15143-1300 |
| David Anthony Provenzano | Interventional Pain Management | Pain Diagnostics and Interventional Care LLC | 301 Ohio River Blvd, Suite 203, Sewickley, PA 15143-1300 |
| Roseann Horen Covatto | Obstetrics/gynecology | Premier Women's Health | 301 Ohio River Blvd, Suite 301, Sewickley, PA 15143-1300 |
| Dale C. Noelting | Clinical Psychologist | 301 Ohio River Blvd, Sewickley, PA 15143-1300 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adrienne M Young | Internal Medicine | 465 Leet Rd, Sewickley, PA 15143-1019 | |
| Eric J Day | Chiropractic | 201 Ohio River Blvd, Sewickley, PA 15143-1181 | |
| Howard Francis Irwin | Clinical Social Worker | Samaritan Counseling Center of Western Pa | 202 Beaver St, Fl 3, Sewickley, PA 15143-1221 |
| Sarah E Cahill | Nurse Practitioner | Heritage Valley Multispecialty Group Inc | 100 Hazel Ln, Sewickley, PA 15143-1249 |
| Danielle R Schnauber | Nurse Practitioner | Heritage Valley Multispecialty Group Inc | 100 Hazel Ln, Sewickley, PA 15143-1249 |
| Alicia F Abate | Nurse Practitioner | Heritage Valley Multispecialty Group Inc | 100 Hazel Ln, Sewickley, PA 15143-1249 |
| Sarah J Polantz | Nurse Practitioner | Heritage Valley Multispecialty Group Inc | 100 Hazel Ln, Sewickley, PA 15143-1249 |
| Geoffrey H Wilcox | General Surgery | Surgical Associates of Sewickley | 111 Hazel Ln, Suite 100, Sewickley, PA 15143-1253 |
| Rebecca Lynn Hartjen | Clinical Social Worker | Valley Medical Facilities Inc | 111 Hazel Ln, Suite 300, Sewickley, PA 15143-1253 |
| Jamie L Dunn | Physician Assistant | Surgical Associates of Sewickley | 111 Hazel Ln, Suite 100, Sewickley, PA 15143-1253 |
| Find all physicians in zip 15143 | |||
| City | SEWICKLEY |
| Zip Code | 15143 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SEWICKLEY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Blayne N Anderson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.