Susquehanna Valley Pain Management PC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

SUSQUEHANNA VALLEY PAIN MANAGEMENT PC

Practice address

825 Sir Thomas CT Ste B
Harrisburg, PA 17109-4839

Phone

(717) 652-8670

Fax

(717) 901-5009

NPI assigned

Jan 6, 2006

Last updated

Sep 1, 2026By 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

Malik N MominNPI 1023096708

Title

President

Phone

(717) 652-8670

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 6

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.

• Malik Momin, M.D.

  • Anesthesiology Physician
  • Harrisburg, PA
  • NPI 1023096708
  Medicare reassignment Care Compare group NPD Authorized official
• Maximilian Braun III, MD

  • Physical Medicine & Rehabilitation Physician
  • Harrisburg, PA
  • NPI 1710965330
  Medicare reassignment Care Compare group NPD
• Norman W Haueisen, DO

  • Physical Medicine & Rehabilitation Physician
  • Harrisburg, PA
  • NPI 1942288626
  Medicare reassignment Care Compare group NPD
• Everett C Hills, MD

  • Physical Medicine & Rehabilitation Physician
  • New Cumberland, PA
  • NPI 1063476406
  Medicare reassignment Care Compare group NPD
• Emily Fisher, PA-C

  • Physician Assistant
  • Harrisburg, PA
  • NPI 1073050589
  Medicare reassignment Care Compare group
• David L Hallock, PA-C

  • Physician Assistant
  • Harrisburg, PA
  • NPI 1023041944
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1053399253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 SIR THOMAS CT STE B",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094839",
            "telephone_number": "717-652-8670",
            "fax_number": "717-901-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 SIR THOMAS CT STE B",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094839",
            "telephone_number": "717-652-8670",
            "fax_number": "717-901-5009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5124 E Trindle Rd",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170503688",
            "country_code": "US",
            "telephone_number": "717-652-8670",
            "fax_number": "717-901-5009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "290 E Pomfret St",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170132579",
            "country_code": "US",
            "telephone_number": "717-652-8670",
            "fax_number": "717-901-5009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUSQUEHANNA VALLEY PAIN MANAGEMENT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-06",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "MOMIN",
        "authorized_official_first_name": "MALIK",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-652-8670"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018860300004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Surgical Physicians, P.C.
• Susquehanna Dental
• Susquehanna Optical Inc
• Susquehanna Township Emergency Medical Services, Inc.
• Susquehanna Township School District
• Susquehanna Valley Surgery Center
• Derek Charles Sutherland, PHARM.D.
• Nikou Pari Sutter, BCBA/LBS
• Carol Renee Sutton
• Kenneth Sutton, MHS, BS, CAADC, LPC

• Interventional Pain Medicine Physician in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Interventional Pain Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.