NPIMap

Organization Active NPI

Three Rivers Pain Management Associates PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Cranberry TWP, PA
National Provider Identifier
1467180455
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
THREE RIVERS PAIN MANAGEMENT ASSOCIATES PLLC
Practice address
20826 Route 19
Cranberry TWP, PA 16066-6028
Phone
(866) 216-7982
Fax
(724) 812-5682
NPI assigned
Aug 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Authorized official

Name
Sudhakar B. Mannam
Title
Owner
Phone
(724) 812-5580

Specialties & licenses 1

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

Addresses

Primary practice location

20826 Route 19
Cranberry TWP, PA 16066-6028

Mailing address

736 W Ingomar Rd Unit 116
Ingomar, PA 15127-6604
Phone (201) 804-2800

National Provider Directory

National Provider Directory

Locations

20826 Route 19
Cranberry Twp, PA 16066
Phone (724) 776-4776

736 W Ingomar Rd
Unit 116
Ingomar, PA 15127

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1467180455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 W INGOMAR RD UNIT 116",
            "city": "INGOMAR",
            "state": "PA",
            "postal_code": "151276604",
            "telephone_number": "201-804-2800",
            "fax_number": "201-804-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20826 ROUTE 19",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666028",
            "telephone_number": "866-216-7982",
            "fax_number": "724-812-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS PAIN MANAGEMENT ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "MANNAM",
        "authorized_official_first_name": "SUDHAKAR",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-812-5580"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry TWP, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.