Pennsylvania Spine & Headache Center, PC

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

License

MD041591E Issued in PA

Legal business name

PENNSYLVANIA SPINE & HEADACHE CENTER, PC

Practice address

3 N 2ND St
Ste 3
Philadelphia, PA 19106-2208

Phone

(215) 776-6404

NPI assigned

Feb 14, 2011

Last updated

Apr 3, 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

Bruce Levin

Title

Owner

Phone

(215) 776-6404

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1043517899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 W LINCOLN HWY",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412547",
            "telephone_number": "610-716-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 N 2ND ST",
            "address_2": "STE 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191062208",
            "telephone_number": "215-776-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA SPINE & HEADACHE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-14",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-776-6404"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "PA",
            "license": "MD041591E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pennsylvania Pulmonary Medical Associates, PC
• Pennsylvania Reproductive Associates
• Pennsylvania Rheumatology Associates, P.C.
• Pennsylvania School for the Deaf
• Pennsylvania Sibling Support Network Inc.
• Pennsylvania Spine to Foot Pain Specialists GP
• Pennsylvania Support Coordination, Inc
• Pennsylvania Supports Coordination Agency
• Pennsylvania Surgical Associates, P.C.
• Pennsylvania Urgent Care Centers

• Rehabilitation Hospital Unit in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Rehabilitation Hospital Unit in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.