ADVANCED PAIN MEDICINE PC (NPI# 1346792876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346792876 |
| Entity Type | Organization |
| Organization Name | ADVANCED PAIN MEDICINE PC |
| Other Organization Name | ADVANCED PAIN MEDICINE LAB |
| Practice Address |
7000 Stonewood Dr Ste 151 Wexford PA 15090-7376 |
| Practice Telephone | 7249330300 |
| Practice Fax Number | 7249330456 |
| Mailing Telephone | 7249330300 |
| Mailing Fax Number | 7249330456 |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |
| Authorized Official Name | MARK LODICO (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7249330300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | LAB PERMIT | 030914 | 01 |
| Other Name | Type Code |
|---|---|
| Advanced Pain Medicine Lab | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619233079 | Advanced Pain Medicine PC | Specialist | 1009 Beaver Grade Rd, Ste 100, Moon Twp, PA 15108-2969 | 2012-04-10 |
| 1093733933 | Advanced Pain Medicine PC | Pain Medicine | 7000 Stonewood Dr, Ste 151, Wexford, PA 15090-8386 | 2006-07-18 |
| Street Address |
7000 STONEWOOD DR STE 151 |
| City | WEXFORD |
| State | PA |
| Zip Code | 15090-7376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033111778 | Mark M. Mitros | Physical Medicine & Rehabilitation | 7000 Stonewood Dr Ste 151, Wexford, PA 15090-7376 | 2005-08-12 |
| 1932715448 | Lauren Ashley Nedzelski | Physician Assistant | 7000 Stonewood Dr Ste 151, Wexford, PA 15090-7376 | 2020-09-20 |
| 1003457490 | Victoria Ryan | Physician Assistant | 7000 Stonewood Dr Ste 151, Wexford, PA 15090-7376 | 2019-10-07 |
| 1861998676 | Dustyn G Pastors | Physician Assistant | 7000 Stonewood Dr Ste 151, Wexford, PA 15090-7376 | 2018-04-02 |
| 1528573466 | Leah Marie Trautzsch | Physician Assistant | 7000 Stonewood Dr Ste 151, Wexford, PA 15090-7376 | 2017-12-13 |
| 1972021210 | Rebecca D Heim | Physician Assistant | 7000 Stonewood Dr Ste 151, Wexford, PA 15090-7376 | 2017-09-07 |
| 1497108922 | Andrew M Ponterio | Physician Assistant | 7000 Stonewood Dr Ste 151, Wexford, PA 15090-7376 | 2016-07-20 |
| 1588072748 | Maureen Mcdonough | Physician Assistant | 7000 Stonewood Dr Ste 151, Wexford, PA 15090-7376 | 2014-07-31 |
| 1417291923 | Meredith Lynn Wisser | Physician Assistant | 7000 Stonewood Dr Ste 151, Wexford, PA 15090-7376 | 2012-11-21 |
| 1679710859 | Jason R Fantini | Physician Assistant | 7000 Stonewood Dr Ste 151, Wexford, PA 15090-7376 | 2009-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932746443 | Lauren Jennifer Kinder | Nurse Practitioner | 103 North Meadows Dr., Suite 220, Wexford, PA 15090 | 2019-12-03 |
| 1235608365 | Pittsburgh Ear LLC | Audiologist | 6041 Wallace Road Ext, Suite 110, Wexford, PA 15090 | 2018-11-19 |
| 1659847739 | Anna Zenkova | Physician Assistant | 10466 Perry Highway, Baierl Honda Cpo Building. 2nd Floor., Wexford, PA 15090 | 2018-10-16 |
| 1831674571 | Comprehensive Care Multi-specialty Physician Organization PC | Internal Medicine | 6400 Brooktree Court., Suite. 320, Wexford, PA 15090 | 2018-09-28 |
| 1760989115 | Kerry L Vaughn | Nurse Practitioner | 12311 Perry Hwy Fl 1, Wexford, PA 15090 | 2018-04-11 |
| 1821446097 | John Richard Moesch | Internal Medicine | 9000 Brooktree Rd, Brooktree Office Park, Suite 2000, Hexford, PA 15090 | 2016-05-28 |
| 1336595511 | Kelly Mea | Occupational Therapist | 10475 Perry Hwy Ste 106g, Wexford, PA 15090 | 2016-05-06 |
| 1194194282 | Natassia Dickey | Counselor | 101 N Meadows Dr Ste 234, Wexford, PA 15090 | 2015-09-18 |
| 1912382631 | Jessica Hamilton | Dietitian, Registered | 155 Towne Centre Avenue, Wexford, PA 15090 | 2015-07-23 |
| 1205211224 | Tamara Domnitz | Optometrist | 110 Vip Dr Ste 301, Wexford, PA 15090 | 2015-07-21 |
| Find all providers in zip 15090 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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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.