Lebanon Pain Relief Center PC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

LEBANON PAIN RELIEF CENTER PC

Practice address

600 Isabel Dr Ste 3
Lebanon, PA 17042-3500

Phone

(717) 272-7272

Fax

(717) 272-0072

NPI assigned

Dec 21, 2011

Last updated

Apr 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Boyd Baldock

Title

Officer and Authorized Official

Phone

(615) 234-5900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Lee Keenan, CRNP

  • Family Nurse Practitioner
  • Lebanon, PA
  • NPI 1124798053
  Medicare reassignment NPD
• Daniel Michael Lorenzo, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Lebanon, PA
  • NPI 1629099106
  Medicare reassignment NPD
• Ashley Filmeck

  • Family Nurse Practitioner
  • Morgantown, WV
  • NPI 1043965155

  PA

  Medicare reassignment NPD
• Thomas W Clark, DPM

  • Podiatrist
  • Lebanon, PA
  • NPI 1447251822
  NPD (past)

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1285903245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4919 MEMORIAL HWY STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336347500",
            "telephone_number": "866-631-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ISABEL DR STE 3",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170423500",
            "telephone_number": "717-272-7272",
            "fax_number": "717-272-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEBANON PAIN RELIEF CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5900"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lebanon Oncology & Hematology Assoc.
• Lebanon Ophthalmic Associates
• Lebanon Oral Surgery Group PLLC
• Lebanon Orthopaedic Associates
• Lebanon Outpatient Surgical Center L.P.
• Lebanon Pathology Associates
• Lebanon Pediatric Associates
• Lebanon Plastic Surgery Associates P C
• Lebanon School District
• Lebanon Surgical Associates, P.C.

• Pain Medicine (Anesthesiology) Physician in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Pain Medicine (Anesthesiology) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.