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PREMIER MEDICAL ASSOCIATES PC NPI 1982088936


NPI Information

NPI: 1982088936
Provider Name: PREMIER MEDICAL ASSOCIATES, PC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 39D2132244

Address:
3824 NORTHERN PIKE
STE 960
MONROEVILLE, PA
ZIP 15146
Phone: (412) 457-0401
Get Directions

PREMIER MEDICAL ASSOCIATES, PC is an interventional pain medicine pain medicine in Monroeville, 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. PREMIER MEDICAL ASSOCIATES, PC NPI is 1982088936. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3824 NORTHERN PIKE
STE 960
MONROEVILLE, PA
ZIP 15146-141
Phone: (412) 457-0401
Fax: (412) 457-0300

The provider's authorized official is Mark Derubeis .
The authorized official title is Ceo and has the following contact phone number (412) 457-0060.

The CLIA number assigned to this NPI record is 39D2132244 - other - diagnostic imaging facili with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/18/2015 and was last updated on 7/18/2015.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208VP0000XPain MedicinePain MedicineMD421997PENNSYLVANIANo
2208VP0014XPain MedicineInterventional Pain MedicineMD421997PENNSYLVANIAYes

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
1008511MEDICARE PINPENNSYLVANIA
21007504600079MEDICAIDPENNSYLVANIA

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: 5/5/2024

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