Active NPI
Pain PA LLC
- Interventional Pain Medicine Physician
- Bethlehem, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- MD-028311E
- Legal business name
- PAIN PA LLC
- Practice address
- 41 E Elizabeth Ave
Bethlehem, PA 18018-6507 - Phone
- (570) 422-6666
- Fax
- (570) 796-9246
- NPI assigned
- Feb 4, 2011
- Last updated
- Nov 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kenneth Zahl
- Title
- Director
- Phone
- (570) 422-6666
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD-028311E | PA | |
| Interventional Pain Medicine Physician | 208VP0014X | MD-028311E | PA | Primary |
Addresses
Primary practice location
41 E Elizabeth Ave
Bethlehem, PA 18018-6507
Mailing address
3400 Mountainview Cir
Bethlehem, PA 18017-1808
Phone (973) 703-3446
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.myupdox.com/portal/painpa-llc/html/publicform-5989.html | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
41 E Elizabeth Ave
Bethlehem, PA 18018
Phone (610) 865-9444
200 Eaglesmere Cir
Unit A
East Stroudsburg, PA 18301
Phone (570) 422-6666
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Interventional Pain Medicine Physician
- Bethlehem, PA
- NPI 1417199217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296777600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730851200000",
"number": "1477859643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 MOUNTAINVIEW CIR",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180171808",
"telephone_number": "973-703-3446",
"fax_number": "570-796-9246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 E ELIZABETH AVE",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180186507",
"telephone_number": "570-422-6666",
"fax_number": "570-796-9246"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN PA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-04",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A",
"authorized_official_last_name": "ZAHL",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "570-422-6666",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD-028311E",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "PA",
"license": "MD-028311E",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.myupdox.com/portal/painpa-llc/html/publicform-5989.html",
"affiliation": "N",
"endpointDescription": "Contact US",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Contact form",
"address_1": "175 E Brown St Ste 112",
"city": "East Stroudsburg",
"state": "PA",
"country_code": "US",
"postal_code": "183013098",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.