Pain Medicine of York, LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

PAIN MEDICINE OF YORK, LLC

Practice address

418 N Logan Blvd
Burnham, PA 17009-1816

Phone

(717) 848-3979

Fax

(717) 668-8967

NPI assigned

Sep 25, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Rodney Yentzer

Title

Ceo/Owner

Phone

(717) 226-1665

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1124498746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1497A S. QUEEN STREET",
            "city": "YORK",
            "state": "PA",
            "postal_code": "17403",
            "telephone_number": "717-848-3979",
            "fax_number": "717-668-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 N LOGAN BLVD",
            "city": "BURNHAM",
            "state": "PA",
            "postal_code": "170091816",
            "telephone_number": "717-848-3979",
            "fax_number": "717-668-8967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MEDICINE OF YORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-25",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "YENTZER",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "717-226-1665",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Dionne Matter, PA-C
• Judy S McKay, R. PH.
• John P McNamara, DO
• Bernard Johnathan Miklos Jr., DPT
• Christopher Michael Morris, CRNP
• Pennsylvania CVS Pharmacy, L.L.C.
• Sowmya Pinnamaneni, M.D
• Katee Rook
• Evan Charles Seby, DPT
• Lori Selfridge, CRNP

• All providers in Burnham, PA
• Pain Medicine (Anesthesiology) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.