Integrative Pain Clinic LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

MD437257 Issued in PA

Legal business name

INTEGRATIVE PAIN CLINIC LLC

Practice address

1572 McDaniel Dr
West Chester, PA 19380-6673

Phone

(610) 732-4251

Fax

(855) 203-5123

NPI assigned

Aug 15, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Pankaj Garg, MDNPI 1629082763

Title

Owner

Phone

(585) 576-7902

Specialties & licenses 1

Addresses

Tax ID family

Integrative Pain Clinic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Integrative Pain Clinic LLC

  • Pain Medicine (Anesthesiology) Physician
  • West Chester, PA
  • NPI 1033464789
  NPD tax ID

Practitioners 1

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

• Pankaj Garg, MD

  • Interventional Pain Medicine Physician
  • West Chester, PA
  • NPI 1629082763
  NPD (past) Authorized official

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1134528045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1572 MCDANIEL DR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193806673",
            "telephone_number": "610-732-4251",
            "fax_number": "855-203-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1572 MCDANIEL DR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193806673",
            "telephone_number": "610-732-4251",
            "fax_number": "855-203-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PAIN CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "GARG",
        "authorized_official_first_name": "PANKAJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-576-7902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "PA",
            "license": "MD437257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrated Foot and Ankle Specialists of PA LLC
• Integrated Foot and Ankle Specialists of PA LLC
• Integrated Treatment Solutions, LLC
• Integrative Health, Inc.
• Integrative Pain Clinic LLC
• Intellishyft, LLC
• Lindsay Inverso, CRNA
• Jessica Melanie Ionescu
• Ira M Thal, MD, PC
• Muhammad Anjum Irfan, M.D.

• Non-Pharmacy Dispensing Site in West Chester, PA
• Providers in West Chester, PA by specialty
• Non-Pharmacy Dispensing Site in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.