PHILADELPHIA PAIN AND NEUROLOGY INSTITUTE, LLC (NPI# 1750851390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750851390 |
| Entity Type | Organization |
| Organization Name | PHILADELPHIA PAIN AND NEUROLOGY INSTITUTE, LLC |
| Practice Address |
1528 Walnut Street Suite 620 Philadelphia PA 19102 |
| Practice Telephone | 2154331575 |
| Practice Fax Number | 2157321649 |
| Mailing Telephone | 2154331575 |
| Mailing Fax Number | 2157321649 |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2018-11-27 |
| Authorized Official Name | DR. KEITH MICHAEL MILLER (PROVIDER) |
| Authorized Official Telephone | 2154331575 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Philadelphia Pain and Neurology Institute, LLC | Doing Business As Name - Organization |
| Street Address |
1528 WALNUT STREET SUITE 620 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650847 | Alexandre Mason Sharma | Student in an Organized Health Care Education/Training Program | 200 N 16th St Apt 1318, Philadelphia, PA 19102 | 2019-06-29 |
| 1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
| 1124688734 | Aakash Patel | Internal Medicine | Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-17 |
| 1245898170 | Parth Javia | Internal Medicine | 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-05 |
| 1588120968 | John Granger II | Social Worker | 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 | 2019-02-11 |
| 1770076465 | Sarthi Dalal | Internal Medicine | 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1255824033 | Joyce Nimo-boampong | Internal Medicine | Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1134625692 | Emma Rose Gormley | Social Worker | 1601 Walnut St Ste 1516, Philadelphia, PA 19102 | 2018-04-03 |
| 1851808497 | Sunish Shah | Pharmacist | 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 | 2018-01-04 |
| 1144731100 | Muhammad Owais Hanif | Internal Medicine | 245 N. 15th St, Ms 437, 6th Floor Ncb, Philadelpha, PA 19102 | 2017-10-18 |
| Find all providers in zip 19102 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548214182 | Pain Care Institute | Pain Medicine | 6200 Frankford Ave, Philadelphia, PA 19135-3400 | 2006-05-19 |
| 1487928636 | Fox Chase Cancer Center Medical Group, Inc | Pain Medicine | 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 | 2012-03-06 |
| 1811275936 | Spinal Rehab and Pain Center | Pain Medicine | 4723 Pine St, Philadelphia, PA 19143-1831 | 2011-07-22 |
| 1831325455 | Michelle D Francavilla | Pain Medicine | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2009-06-10 |
| 1194960427 | Pain Management Physicians, LLC | Pain Medicine | 8019 Frankford Ave, Suite A, Philadelphia, PA 19136-2736 | 2008-12-16 |
| 1245306489 | Spinal Care Pain Associates, P.C. | Pain Medicine | 2410 S Broad St, 3rd Floor, Philadelphia, PA 19145-4418 | 2006-11-28 |
| 1083677819 | Eric Rolf Ratner | Pain Medicine | 8019 Frankford Ave, Suite A, Philadelphia, PA 19136-2786 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063055200 | Sepa Lab - Bristol | Pain Medicine | 200 Rittenhouse Circle, Ste 1a East, Bristol, PA 19007-1619 | 2019-10-21 |
| 1033776257 | Restorative Pain Care LLC | Pain Medicine | 409 Portland Dr, Broomall, PA 19008-4120 | 2019-05-22 |
| 1104482850 | Keystone Pain Consultants & Interventional Spine Specialists PC | Pain Medicine | 2000 Oxford Dr Ste 303, Bethel Park, PA 15102-1841 | 2019-05-17 |
| 1891250767 | Regenerative Pain Specialist, PC | Pain Medicine | 725 Darby Paoli Rd, Villanova, PA 19085-1008 | 2019-02-05 |
| 1649766742 | Smr Pain Management | Pain Medicine | 213 Reeceville Rd Ste 10, Coatesville, PA 19320-1532 | 2018-07-02 |
| 1720463938 | Lancaster Medical Group, LLC | Pain Medicine | 233 College Ave Ste 101, Lancaster, PA 17603-3385 | 2015-07-29 |
| 1760725246 | Pittsburgh Pain Physicians | Pain Medicine | 119 Vip Dr Ste G015, Wexford, PA 15090-7976 | 2013-04-02 |
| 1417199217 | Kenneth Zahl | Pain Medicine | 175 E Brown St Ste 201b, E Stroudsburg, PA 18301-3098 | 2009-03-25 |
| 1316127376 | St. Luke's Physician Group, Inc. | Pain Medicine | 1534 Park Ave Ste 310, Quakertown, PA 18951-1087 | 2007-11-07 |
| 1922111764 | Erie Spine and Pain Management PC | Pain Medicine | 2620 Sigsbee Street, Erie, PA 16508 | 2006-08-16 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19102 |
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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.