PAIN MEDICINE OF YORK, LLC (NPI# 1124498746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124498746 |
| Entity Type | Organization |
| Organization Name | PAIN MEDICINE OF YORK, LLC |
| Practice Address |
418 N Logan Blvd Burnham PA 17009-1816 |
| Mailing Address |
1497a S. Queen Street York PA 17403 |
| Practice Telephone | 7178483979 |
| Practice Fax Number | 7176688967 |
| Mailing Telephone | 7178483979 |
| Mailing Fax Number | 7176688967 |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2017-02-28 |
| Authorized Official Name | MR. RODNEY YENTZER (CEO/OWNER) |
| Authorized Official Telephone | 7172261665 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740796796 | Pain Medicine of York, LLC | Anesthesiology | 100 High Tower Blvd Ste 200, Pittsburgh, PA 15205 | 2017-12-28 |
| 1881126928 | Pain Medicine of York, LLC | Anesthesiology | 136 Jaycee Dr Ste 10, Johnstown, PA 15904 | 2017-03-29 |
| 1033589650 | Pain Medicine of York, LLC | Physical Medicine & Rehabilitation | 233 Easterly Pkwy Ste 100, State College, PA 16801-6300 | 2015-09-26 |
| 1629062534 | Pain Medicine of York, LLC | Pain Medicine | 1497a S. Queen Street, York, PA 17403 | 2005-09-07 |
| 1598289910 | Pain Medicine of York, LLC | Anesthesiology | 1900 Bridge St, New Cumberland, PA 17070 | 2017-07-27 |
| 1255863031 | Pain Medicine of York, LLC | Anesthesiology | 301 E. Pleasant Valley Blvd., Altoona, PA 16602 | 2017-03-30 |
| 1871032284 | Pain Medicine of York, LLC | Anesthesiology | 2025 Technology Pkwy, #207, Mechanicsburg, PA 17050-9400 | 2017-02-17 |
| 1710435045 | Pain Medicine of York, LLC | Anesthesiology | 217 Glenn St, 4th Floor, Cumberland, MD 21502 | 2016-09-15 |
| Street Address |
418 N LOGAN BLVD |
| City | BURNHAM |
| State | PA |
| Zip Code | 17009-1816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407825417 | Pratibha V Vakharia | Specialist | 418 N Logan Blvd, Burnham, PA 17009-1816 | 2006-03-14 |
| 1942686753 | Ilumina Life Center, P.C. | Pain Medicine | 418 N Logan Blvd, Suite B, Burnham, PA 17009-1816 | 2015-08-04 |
| 1518386770 | Allergy & Asthma Specialist LLC | Specialist | 418 N Logan Blvd, Burnham, PA 17009-1816 | 2014-04-15 |
| 1528354271 | Lighthouse Medical LLC | Physical Medicine & Rehabilitation | 418 N Logan Blvd, Suite A, Burnham, PA 17009-1816 | 2011-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215153929 | Jeffery A. Gilbert | Internal Medicine | 217 South Logan Blvd., Burnham, PA 17009 | 2007-04-18 |
| 1679902571 | Angela Deamer | Case Manager/Care Coordinator | 543 E Freedom Ave, Burnham, PA 17009-1306 | 2013-11-01 |
| 1962855072 | Happy Valley Hab-aide Co. | Community/Behavioral Health | 543 E Freedom Ave, Burnham, PA 17009-1306 | 2016-07-14 |
| 1831252972 | Juniata Valley Foot and Ankle Associates | Durable Medical Equipment & Medical Supplies | 215 N Beech St, Burnham, PA 17009-1600 | 2006-12-19 |
| 1700098084 | Family Health Associates Orthopedics | Orthopaedic Surgery | 215 N Beech St, Burnham, PA 17009-1600 | 2007-05-07 |
| 1972643450 | Lewistown Ambulatory Care Corporation | Internal Medicine | 215 N Beech St, Burnham, PA 17009-1600 | 2007-02-07 |
| 1316950348 | Katherine Terese Harvatine | Optometrist | 231 N Logan Blvd, Wise Eyes Optical, Burnham, PA 17009-1813 | 2006-08-14 |
| 1194958413 | Harvatine Optometry, Inc. | Clinic/Center | 231 N Logan Blvd, Burnham, PA 17009-1813 | 2009-09-03 |
| 1083718829 | Pennsylvania Cvs Pharmacy, L.L.C. | Pharmacy | 404 N Logan Blvd, Burnham, PA 17009-1816 | 2006-09-12 |
| 1255341145 | Dicks Home Care Inc | Durable Medical Equipment & Medical Supplies | 224 N Logan Blvd Ste 8, Burnham, PA 17009-1819 | 2006-08-09 |
| Find all providers in zip 17009 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629630504 | Bac Medical, Pllc | Anesthesiology | 3070 Bristol Pike # 2-130, Bensalem, PA 19020-5364 | 2019-07-01 |
| 1285294983 | Thomas Falasca | Anesthesiology | 411 Sybil Dr, Erie, PA 16505-2152 | 2019-06-17 |
| 1144711235 | Amy L. Croushore | Anesthesiology | 5750 Centre Ave Ste 400, Pittsburgh, PA 15206-3761 | 2018-05-23 |
| 1023521598 | Michaela R Lewis | Anesthesiology | 333 State St Ste 104, Erie, PA 16507-1463 | 2017-11-07 |
| 1457704652 | Guthrie Medical Group, P.C. | Anesthesiology | 37 Pratt Avenue, Towanda, PA 18848 | 2016-07-22 |
| 1932518669 | Pharo Pain Management Asociates, P.C. | Anesthesiology | 829 Spruce St Ste 308, Philadelphia, PA 19107-5752 | 2014-08-06 |
| 1457786253 | Lighthouse Medical, LLC | Anesthesiology | 507 Tire Hill Rd, Suite 100, Johnstown, PA 15905-7311 | 2013-09-11 |
| 1992137103 | Anish Sethi | Anesthesiology | 834 Chestnut St Ste T150, Philadelphia, PA 19107 | 2013-07-30 |
| 1528407392 | Soon Yong Jung | Anesthesiology | 1240 S Cedar Crest Blvd Ste 307, Allentown, PA 18103-6263 | 2013-06-14 |
| 1316381155 | Beacon Medical, LLC | Anesthesiology | 136 Jaycee Dr, Suite 10, Johnstown, PA 15904-3650 | 2013-04-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.