Mount Airy Pain Management Center Inc.

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

MD063864L Issued in PA

Legal business name

MOUNT AIRY PAIN MANAGEMENT CENTER INC.

Doing business as

Mount airy pain practice

Practice address

6613 Chew Ave
Philadelphia, PA 19119-2002

Phone

(215) 848-1166

Fax

(215) 842-0224

NPI assigned

Nov 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Obioma C. Iro-Nwokeukwu III, MD063864LNPI 1770556847

Title

Pain Specialist, Anesthesiologist

Phone

(215) 848-1166

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mount airy pain practice Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

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

• Obioma Iro-Nwokeukwu, M.D..

  • Interventional Pain Medicine Physician
  • Philadelphia, PA
  • NPI 1770556847
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1487835500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6613 CHEW AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191192002",
            "telephone_number": "215-848-1166",
            "fax_number": "215-842-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6613 CHEW AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191192002",
            "telephone_number": "215-848-1166",
            "fax_number": "215-842-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT AIRY PAIN MANAGEMENT CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "IRO-NWOKEUKWU",
        "authorized_official_first_name": "OBIOMA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PAIN SPECIALIST, ANESTHESIOLOGIST",
        "authorized_official_telephone_number": "215-848-1166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD063864L"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "PA",
            "license": "MD063864L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017587000011",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount airy pain practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Achintya Moulick, MD
• Amy Moulton, MA, LPC
• Alaa Mouminah
• Peter Mounas, DO
• Mount Airy Family Dental LLC
• Mount Mecca Home Care LLC
• Maria M Mountis, DO
• Karam C Mounzer, MD
• Tala Mourabet, DO
• Pierre J Mouradian, D.M.D.

• Pain Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pain Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.