Organization Active NPI

Pain Medicine Specialists, PC

  • Pain Medicine (Anesthesiology) Physician
  • Chalfont, PA
National Provider Identifier
1154375848
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
MD052249L Issued in PA
Legal business name
PAIN MEDICINE SPECIALISTS, PC
Practice address
1300 Horizon Dr
Suite 101
Chalfont, PA 18914-3970
Phone
(215) 712-2545
Fax
(215) 712-2540
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Authorized official

Name
William Earl Gusa Jr., MD
Title
President
Phone
(215) 712-2545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X MD052249L PA Primary

Addresses

Primary practice location

1300 Horizon Dr
Suite 101
Chalfont, PA 18914-3970

Mailing address

1300 Horizon Dr
Suite 101
Chalfont, PA 18914-3970
Phone (215) 712-2545

National Provider Directory

National Provider Directory

Locations

1300 Horizon Dr
Ste 101A
Chalfont, PA 18914
Phone (215) 712-2545

1300 Horizon Dr
Ste 101
Chalfont, PA 18914
Phone (215) 489-9170

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1154375848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 HORIZON DR",
            "address_2": "SUITE 101",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189143970",
            "telephone_number": "215-712-2545",
            "fax_number": "215-712-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HORIZON DR",
            "address_2": "SUITE 101",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189143970",
            "telephone_number": "215-712-2545",
            "fax_number": "215-712-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MEDICINE SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "GUSA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-712-2545",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "MD052249L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chalfont, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.