Active NPI
Pain PA LLC
- Interventional Pain Medicine Physician
- Bethlehem, PA
National Provider Identifier
1477859643
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
- 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.