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SPINAL CARE PAIN ASSOCIATES P.C. NPI 1245306489


NPI Information

NPI: 1245306489
Provider Name: SPINAL CARE PAIN ASSOCIATES, P.C.
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 39D2054797

Address:
2410 S BROAD ST
3RD FLOOR
PHILADELPHIA, PA
ZIP 19145
Phone: (215) 462-6600
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SPINAL CARE PAIN ASSOCIATES, P.C. is an interventional pain medicine pain medicine in Philadelphia, 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. SPINAL CARE PAIN ASSOCIATES, P.C. NPI is 1245306489. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2410 S BROAD ST
3RD FLOOR
PHILADELPHIA, PA
ZIP 19145-418
Phone: (215) 462-6600
Fax: (215) 462-2650

The provider's authorized official is Glenn Miller .
The authorized official title is Medical Director and has the following contact phone number (215) 462-6600.

The CLIA number assigned to this NPI record is 39D2054797 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 8/22/2020.


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
1208VP0014XPain MedicineInterventional Pain MedicineYes

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
130001785OTHERPENNSYLVANIAKEYSTONE MERCY
2347886100OTHERPENNSYLVANIAUS DEPT OF LABOR OWCP
393900OTHERPENNSYLVANIAAMERICHOICE OF PENN
422210OTHERPENNSYLVANIAHEALTH PARTNERS
52100648000OTHERPENNSYLVANIAKEYSTONE EAST
62992866OTHERPENNSYLVANIAAETNA
71413937OTHERPENNSYLVANIAALL BLUE SHIELDS, AMERIHL

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.