Organization Active NPI

Pain & Disability Management Consultants, P.C.

  • Interventional Pain Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1487669206
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
MD046477L Issued in PA
Legal business name
PAIN & DISABILITY MANAGEMENT CONSULTANTS, P.C.
Practice address
105 Braunlich Dr
Suite 410
Pittsburgh, PA 15237-3348
Phone
(412) 635-2920
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2009

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

Authorized official

Name
Kelley Gilman
Title
Practice Manager
Phone
(412) 635-2920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X MD046477L PA Primary

Addresses

Primary practice location

105 Braunlich Dr
Suite 410
Pittsburgh, PA 15237-3348

Mailing address

105 Braunlich Dr
Suite 410
Pittsburgh, PA 15237-3348
Phone (412) 635-2920

Other identifiers 2

IdentifierTypeStateIssuer
001803403MedicaidPA
368624OtherPAHIGHMARK

National Provider Directory

National Provider Directory

Locations

300 McKnight Park Dr
Ste 305
Pittsburgh, PA 15237
Phone (412) 635-2920

105 Braunlich Dr
Ste 410
Pittsburgh, PA 15237
Phone (412) 635-2920

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": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1487669206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BRAUNLICH DR",
            "address_2": "SUITE 410",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152373348",
            "telephone_number": "412-635-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BRAUNLICH DR",
            "address_2": "SUITE 410",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152373348",
            "telephone_number": "412-635-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN & DISABILITY MANAGEMENT CONSULTANTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "GILMAN",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "412-635-2920"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "PA",
            "license": "MD046477L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001803403",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "368624",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; 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.