David Anthony Provenzano (NPI# 1790796233, PAC ID# 3870599491) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1790796233 |
| PAC ID by PECOS | 3870599491 |
| Professional Enrollment ID | I20061004000519 |
| Full Name | David Anthony Provenzano |
| Organization Legal Name | PAIN DIAGNOSTICS AND INTERVENTIONAL CARE LLC |
| Address |
301 Ohio River Blvd Suite 203 Sewickley PA 15143-1300 |
| Phone Number | 4122217640 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY |
| Graduation Year | 1999 |
| Primary Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| Secondary Specialties | ANESTHESIOLOGY, PAIN MANAGEMENT |
| Group Practice PAC ID | 6103050570 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390037 | HERITAGE VALLEY SEWICKLEY |
| 390036 | HERITAGE VALLEY BEAVER |
| Address | Phone | Organization |
|---|---|---|
| 301 Ohio River Blvd, Suite 203, Sewickley, PA 15143-1300 | 4122217640 | PAIN DIAGNOSTICS AND INTERVENTIONAL CARE LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_039_overall | Screening for Osteoporosis for Women Aged 65-85 Years of Age | 99% | |
| MIPS_EC_109_overall | Osteoarthritis (OA): Function and Pain Assessment | 100% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_154_overall | Falls: Risk Assessment | 100% | |
| MIPS_EC_155_overall | Falls: Plan of Care | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| 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 |
| Blayne N Anderson | Physician Assistant | 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 |
| Roseann Horen Covatto | Obstetrics/gynecology | Premier Women's Health | 301 Ohio River Blvd, Suite 301, Sewickley, PA 15143-1300 |
| Blayne N Anderson | Physician Assistant | Pain Diagnostics and Interventional Care LLC | 301 Ohio River Blvd, Suite 203, 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 | INTERVENTIONAL PAIN MANAGEMENT |
| City + Specialty | SEWICKLEY + INTERVENTIONAL PAIN MANAGEMENT |
Please comment or provide details below to improve the information on David Anthony Provenzano.
| 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.