Organization Active NPI

S.E. PA Pain Management

  • Non-Pharmacy Dispensing Site
  • Horsham, PA
National Provider Identifier
1386039790
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
S.E. PA PAIN MANAGEMENT
Practice address
721 Dresher Rd
2500
Horsham, PA 19044-2220
Phone
(215) 873-5415
NPI assigned
Apr 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Authorized official

Name
Patrick Fall, D.O.
Title
Owner
Phone
(215) 873-5415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

721 Dresher Rd
2500
Horsham, PA 19044-2220

Mailing address

721 Dresher Rd
2500
Horsham, PA 19044-2220
Phone (215) 873-5415

National Provider Directory

National Provider Directory
Tax ID family
Sepa-Abington10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGEJCA

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1386039790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 DRESHER RD",
            "address_2": "2500",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190442220",
            "telephone_number": "215-873-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 DRESHER RD",
            "address_2": "2500",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190442220",
            "telephone_number": "215-873-5415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.E. PA PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-02",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "FALL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-873-5415",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horsham, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.