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MOUNT AIRY PAIN MANAGEMENT CENTER INC. NPI 1487835500


NPI Information

NPI: 1487835500
Provider Name: MOUNT AIRY PAIN MANAGEMENT CENTER INC.

Doing Business As: MOUNT AIRY PAIN PRACTICE

Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
6613 CHEW AVE
PHILADELPHIA, PA
ZIP 19119
Phone: (215) 848-1166
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MOUNT AIRY PAIN MANAGEMENT CENTER INC. is a pain clinic center in Philadelphia, PA. MOUNT AIRY PAIN MANAGEMENT CENTER INC. NPI is 1487835500. The provider is registered as an organization entity type.
The provider Is Doing Business As Mount Airy Pain Practice.

The provider's business location address is:

6613 CHEW AVE
PHILADELPHIA, PA
ZIP 19119-002
Phone: (215) 848-1166
Fax: (215) 842-0224

The provider's authorized official is Obioma C. Iro-nwokeukwu .
The authorized official title is Pain Specialist, Anesthesiologist and has the following contact phone number (215) 848-1166.

The enumeration date for this NPI number is 11/16/2007 and was last updated on 1/21/2016.


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
1261QP3300XClinic/CenterPainMD063864LPENNSYLVANIAYes

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
10017587000011MEDICAIDPENNSYLVANIA
20227452MEDICARE PINPENNSYLVANIA

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.