Organization Active NPI

Terminal Square Pain Center

  • General Practice Physician
  • Upper Darby, PA
National Provider Identifier
1053512426
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
TERMINAL SQUARE PAIN CENTER
Practice address
7016 Terminal SQ
Suite 10a
Upper Darby, PA 19082-2310
Phone
(610) 352-1710
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2009

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

Authorized official

Name
Mindy Guss
Title
Collections
Phone
(215) 750-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

7016 Terminal SQ
Suite 10a
Upper Darby, PA 19082-2310

Mailing address

7016 Terminal SQ
Suite 10a
Upper Darby, PA 19082-2310
Phone (610) 352-1710

National Provider Directory

National Provider Directory

Locations

7016 Terminal Sq
Ste 10A
Upper Darby, PA 19082
Phone (610) 352-1710

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1053512426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7016 TERMINAL SQ",
            "address_2": "SUITE 10A",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822310",
            "telephone_number": "610-352-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7016 TERMINAL SQ",
            "address_2": "SUITE 10A",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822310",
            "telephone_number": "610-352-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERMINAL SQUARE PAIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "GUSS",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "COLLECTIONS",
        "authorized_official_telephone_number": "215-750-9600"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Darby, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.