Integrative Pain Clinic LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

INTEGRATIVE PAIN CLINIC LLC

Practice address

1572 McDaniel Dr
West Chester, PA 19380-6673

Phone

(610) 732-4251

Fax

(855) 203-5123

NPI assigned

Jul 18, 2012

Last updated

Feb 4, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Pankaj Garg, MDNPI 1629082763

Title

Owner

Phone

(610) 732-4251

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

Tax ID family

Integrative Pain Clinic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Integrative Pain Clinic LLC

  • Non-Pharmacy Dispensing Site
  • West Chester, PA
  • NPI 1134528045
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pankaj Garg, MD

  • Interventional Pain Medicine Physician
  • West Chester, PA
  • NPI 1629082763
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423008000000",
    "number": "1033464789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1572 MCDANIEL DR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193806673",
            "telephone_number": "610-732-4251",
            "fax_number": "855-203-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1572 MCDANIEL DR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193806673",
            "telephone_number": "610-732-4251",
            "fax_number": "855-203-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PAIN CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2015-02-04",
        "status": "A",
        "authorized_official_last_name": "GARG",
        "authorized_official_first_name": "PANKAJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-732-4251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Instant Aid LLC
• Integrated Foot and Ankle Specialists of PA LLC (Bryn Mawr Foot & Ankle Center)
• Integrated Foot and Ankle Specialists of PA LLC (Foot & Ankle Center of Chester County)
• Integrated Treatment Solutions, LLC
• Integrative Health, Inc.
• Integrative Pain Clinic LLC
• Intellishyft, LLC
• Lindsay Inverso, CRNA
• Jessica Melanie Ionescu
• Ira M Thal, MD, PC

• Pain Medicine (Anesthesiology) Physician in West Chester, PA
• Providers in West Chester, PA by specialty
• Pain Medicine (Anesthesiology) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.