Pain Care Consultants

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PAIN CARE CONSULTANTS

Practice address

50 Moisey Drive
Suite 204
Harleton, PA 18202

Phone

(570) 501-6860

Fax

(570) 501-6869

NPI assigned

May 15, 2006

Organization subpart

No

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

Authorized official

Name

Renee Stroup

Title

Billing Credentialing Administrator

Phone

(570) 501-6863

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas W Hanlon, MD

  • Anesthesiology Physician
  • Hazleton, PA
  • NPI 1275535205
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1083665772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "18707",
            "telephone_number": "570-501-6860",
            "fax_number": "570-501-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MOISEY DRIVE",
            "address_2": "SUITE 204",
            "city": "HARLETON",
            "state": "PA",
            "postal_code": "18202",
            "telephone_number": "570-501-6860",
            "fax_number": "570-501-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CARE CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "STROUP",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "BILLING CREDENTIALING ADMINISTRATOR",
        "authorized_official_telephone_number": "570-501-6863"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1792883",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.