French Creek Pain Management,PC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

MD027700E Issued in PA

Legal business name

FRENCH CREEK PAIN MANAGEMENT,PC

Practice address

1034 Grove St
Meadville, PA 16335-2945

Phone

(804) 333-5736

Fax

(814) 333-5819

NPI assigned

Jun 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert R Concilus, M.D.

Title

Owner

Phone

(814) 333-5872

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 2

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

• Anthony James Colantonio, MD

  • Pain Medicine (Anesthesiology) Physician
  • Meadville, PA
  • NPI 1174564504

  Pain Medicine

  NPD (past)
• Mona D Justo, MD

  • Specialist
  • Berwick, PA
  • NPI 1780661611
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104852375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 PINE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352963",
            "telephone_number": "814-333-5872",
            "fax_number": "814-333-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352945",
            "telephone_number": "804-333-5736",
            "fax_number": "814-333-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRENCH CREEK PAIN MANAGEMENT,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONCILUS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-333-5872",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "MD027700E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016769640003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "0408153",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC HEALTH PLAN",
            "identifier": "0002753",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason C. Fowler, PA-C
• Keri Fratarcangeli, LCSW
• French Creek Dental Group
• French Creek Eyecare, LLC
• French Creek Internal Medicine
• Philip A Frndak, D.O.
• Carissa Fucci, LPC
• Damian J. Gallina, BA, BS, RPH
• Jessie Ganjoo, MD
• Jose Gerardo Garcia Cavazos, MD

• Pain Medicine (Anesthesiology) Physician in Meadville, PA
• Providers in Meadville, PA by specialty
• Pain Medicine (Anesthesiology) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.