Center for Interventional Pain Spine LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CENTER FOR INTERVENTIONAL PAIN SPINE LLC

Practice address

535 Pennsylvania Ave Ste 100
Fort Washington, PA 19034-3305

Phone

(844) 365-7246

Fax

(215) 646-2375

NPI assigned

Aug 23, 2018

Organization subpart

Yes

Parent organization

CENTER FOR INTERVENTIONAL PAIN SPINE LLCAs reported in NPPES

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

Authorized official

Name

Stefanie Paulus

Title

Practice Manager

Phone

(844) 365-7246

Specialties & licenses 1

Addresses

Part of

Center for Interventional Pain Spine

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1205317617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 WILMINGTON W CHESTER PIKE STE 214",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179007",
            "telephone_number": "844-365-7246",
            "fax_number": "610-361-7956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 PENNSYLVANIA AVE STE 100",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190343305",
            "telephone_number": "844-365-7246",
            "fax_number": "215-646-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR INTERVENTIONAL PAIN SPINE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER FOR INTERVENTIONAL PAIN SPINE LLC",
        "enumeration_date": "2018-08-23",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "PAULUS",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "844-365-7246"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caring Hospice Services LLC
• Marie Claire Carlin, MD
• Christina Imo Carson-Sacco, PSY.D.
• Stacey Castel
• Maureen Caulfield, MD
• Center for Interventional Pain Spine LLC
• Ouidad Chaouf
• Charis Hospice LLC
• Shawnor Charles, LPN
• Mark Ian Cherwony, LAT, ATC

• Durable Medical Equipment & Medical Supplies in Fort Washington, PA
• Providers in Fort Washington, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.