Advanced Pain Medicine PC
Organization Active NPI Pain Medicine Physician · Wexford, PA
NPI 1093733933 · NPPES record last updated Aug 24, 2022
Key facts
- NPI
- 1093733933
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Medicine Physician 208VP0000X
- License
- MD047135L (PA)
- Legal business name
- ADVANCED PAIN MEDICINE PC
- Practice address
- 7000 Stonewood Dr
Ste 151
Wexford, PA 15090-8386 - Phone
- (724) 933-0300
- Fax
- (724) 933-0456
- NPI assigned
- Jul 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Mark R. Lodico, M.D.
- Title
- President
- Phone
- (724) 933-0300
Practitioners 31
-
Anuradha Anand, M.D.
-
Mark R. Lodico, MD
-
Mark M. Mitros, M. D.
-
Mary Margaret Caffrey, PA-C
-
Kirsten R Drakulich, PA-C
-
Jason R Fantini, PA-C
-
Kevin M Hibbard, MD
-
Leah Marie Hibbard, PA-C
-
Eric Anthony Holtz, PA-C
-
Michaela R Lewis, PA-C
-
Toni Marie Magnelli, PA-C
-
Meredith Lynn Wisser, PA-C
-
Danielle M Abel, PA-C
-
Christa M D'Andrea, PA-C
-
Nicole Lynne Haas, PA-C
-
Rebecca D Heim, PA-C
-
Brianna Hester, PA-C
-
Blessy Koshy, PA-C
-
Hannah Louise Lanctot, PA-C
-
Lauren Ashley Nedzelski, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, WV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041008000473 | PA | Part B Supplier - Clinic/Group Practice | 1052370657 |
Receives reassigned benefits from 30 practitioners Practice locations: Wexford, PA; West Mifflin, PA; New Kensington, PA; Moon TWP, PA; Greensburg, PA; Monroeville, PA; Erie, PA; MC Murray, PA… |
| O20170509000657 | WV | Part B Supplier - Clinic/Group Practice | 1052370657 |
Receives reassigned benefits from 14 practitioners Practice locations: Morgantown, WV |
National Provider Directory
Locations
500 Market St
Ste 202
Beaver, PA 15009
Phone (724) 728-8840
575 Lincoln Ave
Bellevue, PA 15202
Phone (412) 734-1100
990 Higbee Dr
Bethel Park, PA 15102
Phone (412) 854-7900
990 Higbee Dr
#C
Bethel Park, PA 15102
990 Higbee Dr
Ste D207
Bethel Park, PA 15102
545 Rugh St
Ste 6000
Greensburg, PA 15601
1009 Beaver Grade Rd
Moon Twp, PA 15108
2915 Wilmington Rd
New Castle, PA 16105
Phone (724) 656-5334
356 Freeport St
Ste 205A
New Kensington, PA 15068
500 N Lewis Run Rd
Ste 202
West Mifflin/Pleasant Hills, PA 15122
Phone (412) 469-6952
4001 Stonewood Dr
Ste 100
Wexford, PA 15090
Phone (724) 933-0880
7000 Stonewood Dr
Wexford, PA 15090
Phone (412) 471-1195
3000 Mon Health Medical Park Dr
Ste 3202
Morgantown, WV 26505
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician |
208VP0000X | MD047135L | PA | Yes |
Addresses
Primary practice location
7000 Stonewood Dr
Ste 151
Wexford, PA 15090-8386
Mailing address
7000 Stonewood Dr
Ste 151
Wexford, PA 15090
Phone (724) 933-0300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 361577 | Other | PA | HIGHMARK |
| 224979 | Other | PA | HEALTH AMERICA |
Other names
- Advanced Pain Medicine PC
Other providers in Wexford, PA
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All providers in Wexford, PA · Pain Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.