HAVERFORT PAIN MANAGEMENT LLC (NPI# 1780915603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780915603 |
| Entity Type | Organization |
| Organization Name | HAVERFORT PAIN MANAGEMENT LLC |
| Practice Address |
7592 Haverfort Ave Philadelphia PA 19151-2113 |
| Mailing Address |
7592 Haverport Ave Philadelphia PA 19151-0000 |
| Practice Telephone | 2679344040 |
| Mailing Telephone | 2679344040 |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2010-01-28 |
| Authorized Official Name | ANDREW POLNET (PRESIDENT) |
| Authorized Official Telephone | 2679344040 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
7592 HAVERFORT AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19151-2113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346860145 | Antonio Mayhew | Home Health | 1244 N 64th St, Philadelphia, PA 19151 | 2020-04-21 |
| 1477078913 | Nikisha Davis | Marriage & Family Therapist | 7621 Brookhaven Road, Philadelphia, PA 19151 | 2017-08-05 |
| 1376066092 | Kialenah Stewart | Technician | 451 N Edgewood Street, Philadelphia, PA 19151 | 2017-07-25 |
| 1922413186 | My Community My Way | Day Training, Developmentally Disabled Services | 1715 North Felton Street, Philadelphia, PA 19151 | 2014-06-26 |
| 1245670033 | Harcum Healthcare Group, LLC | Home Health | 7401 Woodbine Avenue, Philadelphia, PA 19151 | 2013-06-26 |
| 1639515687 | Daniel A Rader | Dentist | 7300 City Ave Suite 210, Phila, PA 19151 | 2013-05-17 |
| 1053632547 | Nalini Venkateswaran | Pharmacist | 7564-7570 Haverford Avenue, Rite Aid Pharmacy, Philadelphia, PA 19151 | 2010-06-18 |
| 1740494533 | Suburban Rehabilitation Associates, LLC | Orthopaedic Surgery | 7225 Haverford Avenue, Philadelphia, PA 19151 | 2007-05-10 |
| 1902027741 | Ndeye Aissatou Lo | Pharmacist | 7564 Haverford Ave, Philadelphia, PA 19151 | 2007-05-01 |
| 1629295076 | Gaudenzia Inc | Clinic/Center | 701 North 63rd Street, Philadelphia, PA 19151 | 2007-04-19 |
| Find all providers in zip 19151 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820754 | The Nava Center, Inc. | Clinic/Center | 1334 S 18th St, Philadelphia, PA 19146-4647 | 2020-11-01 |
| 1023620135 | Neshoba County General Hospital-nursing Home | Clinic/Center | 406 Stribling St, Philadelphia, MS 39350-3344 | 2020-08-19 |
| 1043775711 | New Vitae, Inc. | Clinic/Center | 27 S. 55th Street, Philadelphia, PA 19139-3247 | 2019-02-06 |
| 1184132219 | Neshoba County General Hospital | Clinic/Center | 1002 Saint Francis Dr, Philadelphia, MS 39350-2030 | 2018-01-10 |
| 1699288142 | Rogers Memorial Hospital Inc | Clinic/Center | 1 Winding Dr Ste 106, Philadelphia, PA 19131-2907 | 2017-11-07 |
| 1952753238 | American Rehabilitation Counseling Center LLC | Clinic/Center | 8305-15 Ridge Ave, Philadelphia, PA 19128-1722 | 2016-07-11 |
| 1750736088 | Mark Wilson | Clinic/Center | 5313 Ogden St, Philadelphia, PA 19139-1438 | 2016-04-23 |
| 1023485265 | Greater Philadelphia Health Action Inc. | Clinic/Center | 1408 S. Broad St., 2nd Floor, Philadelphia, PA 19146-4808 | 2015-08-24 |
| 1407233125 | Rediclinic of Pa, LLC | Clinic/Center | 7418-32 Oxford Avenue, Philadelphia, PA 19111-3023 | 2015-05-01 |
| 1912397118 | Physical Corrective Solutions, LLC | Clinic/Center | 2644 Lefevre St Ste A, Suite A, Philadelphia, PA 19137-1733 | 2015-01-27 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19151 |
Please comment or provide details below to improve the information on HAVERFORT PAIN MANAGEMENT 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.