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PREMIER PAIN PROFESSIONALS PC NPI 1497902910


NPI Information

NPI: 1497902910
Provider Name: PREMIER PAIN PROFESSIONALS PC
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 39D2039286

Address:
91 PROGRESS AVE
POTTSVILLE, PA
ZIP 17901
Phone: (570) 449-3824
Get Directions

PREMIER PAIN PROFESSIONALS PC is a pain medicine anesthesiology in Pottsville, PA. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. PREMIER PAIN PROFESSIONALS PC NPI is 1497902910. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

91 PROGRESS AVE
POTTSVILLE, PA
ZIP 17901-966
Phone: (570) 449-3824
Fax: (570) 943-2657

The provider's authorized official is Ashok Kumar .
The authorized official title is Owner and has the following contact phone number (570) 449-3824.

The CLIA number assigned to this NPI record is 39D2039286 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/27/2008 and was last updated on 4/21/2015.


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
1207LP2900XAnesthesiologyPain 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
1H62010MEDICARE UPINPENNSYLVANIA
2102209170MEDICAIDPENNSYLVANIA
3132398MEDICARE 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.