ADVANCED SPINE AND PAIN OF PA, LLC (NPI# 1477968014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477968014 |
| Entity Type | Organization |
| Organization Name | ADVANCED SPINE AND PAIN OF PA, LLC |
| Practice Address |
2000 Grant Ave Suite 103 Philadelphia PA 19115-4378 |
| Mailing Address |
1030 Kings Hwy N Suite 200 Cherry Hill NJ 08034-1907 |
| Practice Telephone | 8889852727 |
| Practice Fax Number | 8567790211 |
| Mailing Telephone | 8889852727 |
| Mailing Fax Number | 8567790211 |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2015-02-06 |
| Authorized Official Name | DR. YOUNG J LEE (PHYSICIAN, OWNER) |
| Authorized Official Telephone | 8889852727 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
25MA08184600 | NJ | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD066819L | PA | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
MD427900 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
2000 GRANT AVE SUITE 103 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19115-4378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265417091 | Yevgeny Lerner | Anesthesiology | 2000 Grant Ave, Suite 101, Philadelphia, PA 19115-4378 | 2005-12-14 |
| 1083111835 | Gs Endoscopy Center LLC | Clinic/Center | 2000 Grant Ave, Philadelphia, PA 19115-4378 | 2018-04-09 |
| 1194027920 | Grant Surgicenter LLC | Clinic/Center | 2000 Grant Ave, Philadelphia, PA 19115-7287 | 2010-11-30 |
| 1518192202 | Chun Candy Yeung | Dentist | 2000 Grant Ave, Suite 200, Philadelphia, PA 19115-4378 | 2009-05-25 |
| 1225234651 | Ali Khoobehi | Surgery | 2000 Grant Ave, Ste 201, Philadelphia, PA 19115-4378 | 2007-06-22 |
| 1811191588 | Michael Lieb M D P C. | Internal Medicine | 2000 Grant Ave, Suite 102, Philadelphia, PA 19115-4378 | 2007-06-14 |
| 1356559850 | Maya Spodik | Internal Medicine | 2000 Grant Ave, Suite 102, Philadelphia, PA 19115-4378 | 2007-05-18 |
| 1609924794 | Kevin Chin | Dentist | 2000 Grant Ave, Suite 200, Philadelphia, PA 19115-4378 | 2007-01-08 |
| 1568527372 | Mark L Bierhoff | Internal Medicine | 2000 Grant Ave, Suite 103, Philadelphia, PA 19115-4378 | 2006-12-22 |
| 1912062720 | Eugene M Mayer | Internal Medicine | 2000 Grant Ave, Suite 103, Philadelphia, PA 19115-4378 | 2006-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442696 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2044 Red Lion Road, Philadelphia, PA 19115 | 2020-09-21 |
| 1639717762 | Cassondra Ondeck | Physical Therapist | Paul's Run Retirement Community, 9896 Bustleton Ave, Philadelphia, PA 19115 | 2019-12-19 |
| 1740747641 | Comfort Ride Transit Inc | Non-emergency Medical Transport (VAN) | 248 Geiger Road, Suite 201 Unit D, Philadelphia, PA 19115 | 2019-02-27 |
| 1386101400 | Ashley Thomas | Physician Assistant | 9331 Old Bustleton Ave Ste 100a, Philadelphia, PA 19115 | 2019-02-25 |
| 1659857027 | Kiesha Anita Abney | Occupational Therapy Assistant | Chapel Manor (genesis Rehabilitation) 1104 Welsh Road, Philadelphia, PA 19115 | 2018-07-18 |
| 1457844870 | Philadelphia Discount Pharmacy LLC | Pharmacist | 842 Red Lion Road Unit 13, Philadephia, PA 19115 | 2018-06-11 |
| 1770001828 | Ciarra Bell | Occupational Therapist | 828 Red Lion Rd, Philadelphia, PA 19115 | 2017-09-08 |
| 1245604008 | Saria Ibrahim | Counselor | 9651 Clark Street, Philadelphia, PA 19115 | 2015-11-17 |
| 1124413166 | Global Dental Plus LLC | Dentist | 9630 Bustleton Av 2nd Fl, Philadelphia, PA 19115 | 2015-04-06 |
| 1932510161 | Miriam John | Occupational Therapist | 9997 Sandy Road, Philadelphia, PA 19115 | 2014-05-09 |
| Find all providers in zip 19115 | ||||
| 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 |
|---|---|---|---|---|
| 1932518669 | Pharo Pain Management Asociates, P.C. | Anesthesiology | 829 Spruce St Ste 308, Philadelphia, PA 19107-5752 | 2014-08-06 |
| 1992137103 | Anish Sethi | Anesthesiology | 834 Chestnut St Ste T150, Philadelphia, PA 19107 | 2013-07-30 |
| 1407299902 | Mina Ghaly | Anesthesiology | 1200 W Tabor Rd Fl 4, Philadelphia, PA 19141-3019 | 2013-04-15 |
| 1548203839 | Uplekh Purewal | Anesthesiology | 9815 Roosevelt Blvd, Philadelphia, PA 19114-1011 | 2006-06-14 |
| 1326033994 | Koenigsberg & Associates Pain Management LLC | Anesthesiology | 2222 S Broad St, Philadelphia, PA 19145-3948 | 2005-09-20 |
| 1689666315 | Pain Care Professionals, Inc. | Anesthesiology | Hahnemann University Hospital Pain Clinic, Broad & Vine St., 4th Floor South Tower, Philadelphia, PA 19096 | 2005-08-18 |
| 1407339187 | Temple Faculty Practice Plan, Inc | Anesthesiology | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-09-10 |
| 1144600073 | Daniel Lavi Southren | Anesthesiology | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2015-06-05 |
| 1205246576 | Einstein Practice Plan, Inc. | Anesthesiology | 1200 W Tabor Rd, Moss Rehab Building, 4th Floor, Philadelphia, PA 19141-3019 | 2014-05-07 |
| 1952660169 | Coast Anesthesia Practice PC | Anesthesiology | 5800 Ridge Ave, Philadelphia, PA 19128-1737 | 2012-05-08 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19115 |
Please comment or provide details below to improve the information on ADVANCED SPINE AND PAIN OF PA, LLC.
| 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.