Organization Active NPI

Pain and Palliative Care Associates of the Main Line, LLC

  • Non-Pharmacy Dispensing Site
  • Phoenixville, PA
National Provider Identifier
1457629206
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
PAIN AND PALLIATIVE CARE ASSOCIATES OF THE MAIN LINE, LLC
Practice address
826 Main St
Suite 302
Phoenixville, PA 19460-4459
Phone
(610) 983-1620
NPI assigned
Dec 8, 2011
Last updated
Dec 8, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
PAIN AND PALLIATIVE CARE ASSOCIATES OF THE MAIN LINE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Authorized official

Name
Dr. Adam Burkey, MD
Title
Medical Director
Phone
(610) 983-1620

Specialties & licenses 1

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

Addresses

Primary practice location

826 Main St
Suite 302
Phoenixville, PA 19460-4459

Mailing address

2980 N Beverly Glen Cir
Suite 301
Los Angeles, CA 90077-1726
Phone (310) 474-9809

National Provider Directory

National Provider Directory
Part of
Pain Palliative Care Assoc

NPI Registry JSON

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1457629206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 MAIN ST",
            "address_2": "SUITE 302",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604459",
            "telephone_number": "610-983-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN AND PALLIATIVE CARE ASSOCIATES OF THE MAIN LINE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAIN AND PALLIATIVE CARE ASSOCIATES OF THE MAIN LINE, LLC",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "BURKEY",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "610-983-1620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.