Back Pain Center PC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

MD051973-L Issued in PA

Legal business name

BACK PAIN CENTER PC

Practice address

100 1St Ave
Phoenixville, PA 19460-3700

Phone

(610) 495-8416

NPI assigned

May 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michele Yvette Holding, MDNPI 1407874647

Title

President

Phone

(610) 495-8416

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

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

• Michele Y Holding, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Phoenixville, PA
  • NPI 1407874647
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1124286158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 222",
            "city": "SPRING CITY",
            "state": "PA",
            "postal_code": "194750222",
            "telephone_number": "610-495-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 1ST AVE",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194603700",
            "telephone_number": "610-495-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK PAIN CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "HOLDING",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-495-8416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "PA",
            "license": "MD051973-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "510594",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE EAST",
            "identifier": "0730718000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0730718000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3770872",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anurag Avadhuta, DO
• Jerrold H Axler, D.D.S
• Lauren Michelle Azeff
• Miriam Farooq Baba
• Timothy Babinchak, MD
• Sara Baginsky, OTR/L
• Rita Ann Baglin, RD, LDN
• Baird Optical Co Inc
• Lucas R Baird, OD
• Angela M Baker, PA-C

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Phoenixville, PA
• Providers in Phoenixville, PA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; 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.