Organization Active NPI

Pain PA LLC

  • Interventional Pain Medicine Physician
  • Bethlehem, PA
National Provider Identifier
1477859643
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
MD-028311E Issued in PA
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
Dr. Kenneth ZahlNPI 1417199217
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)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X MD-028311E PA
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

TypeEndpointUseAffiliation
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

Enrollment IDStateProvider typePAC IDDetails
O20160104000625 PA Part B Supplier - Clinic/Group Practice 4082916366 Receives reassigned benefits from 1 practitioner
Practice locations: East Stroudsburg, PA

National Provider Directory

National Provider Directory

Locations

175 E Brown St
Ste 112
East Stroudsburg, PA 18301
Phone (570) 424-2990

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.

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.

Verify at the official NPI Registry.