PREMIER PAIN PROFESSIONALS PC NPI 1497902910

NPI Information

  • NPI: 1497902910
  • Provider Name: PREMIER PAIN PROFESSIONALS PC
  • Classification: Anesthesiology - 207LP2900X
  • Specialization: Pain Medicine
  • Entity Type: Organization
  • CLIA Number: 39D2039286
  • Address: 121 PROGRESS AVE STE 120
    POTTSVILLE, PA
    ZIP 17901
  • Phone: (570) 622-5616

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NPI Details

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:

121 PROGRESS AVE STE 120
POTTSVILLE, PA
ZIP 17901-968
Phone: (570) 622-5616
Fax: (570) 622-5618

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 11/30/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1102209170MEDICAIDPENNSYLVANIA

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: 11/21/2025

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