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TRI-STATE PAIN INSTITUTE LLC NPI 1215106323


NPI Information

NPI: 1215106323
Provider Name: TRI-STATE PAIN INSTITUTE LLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
2374 VILLAGE COMMON DR
SUITE 100
ERIE, PA
ZIP 16506
Phone: (814) 833-7246
Get Directions

TRI-STATE PAIN INSTITUTE LLC is an interventional pain medicine pain medicine in Erie, PA. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. TRI-STATE PAIN INSTITUTE LLC NPI is 1215106323. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2374 VILLAGE COMMON DR
SUITE 100
ERIE, PA
ZIP 16506-201
Phone: (814) 833-7246
Fax: (814) 833-1147

The provider's authorized official is Joseph A Thomas .
The authorized official title is Supervisor and has the following contact phone number (814) 833-1147.

The enumeration date for this NPI number is 2/22/2008 and was last updated on 9/11/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081P2900XPhysical Medicine & RehabilitationPain MedicineMD045797LPENNSYLVANIANo
2208VP0014XPain MedicineInterventional Pain MedicineMD045797LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10012660260005MEDICAIDPENNSYLVANIA
2273480OTHERPENNSYLVANIABLUE SHIELD
30717424MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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