Premier Pain Professionals PC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

PREMIER PAIN PROFESSIONALS PC

Practice address

121 Progress Ave Ste 120
Pottsville, PA 17901-2968

Phone

(570) 622-5616

Fax

(570) 622-5618

NPI assigned

Aug 27, 2008

Organization subpart

No

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

Authorized official

Name

Ashok Kumar, MDNPI 1659353258

Title

Owner

Phone

(570) 449-3824

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 6

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

• Ashok Kumar, MD

  • Anesthesiology Physician
  • Pottsville, PA
  • NPI 1659353258
  Medicare reassignment Care Compare group Authorized official
• Bradley A. Barter, D.O.

  • Orthopaedic Surgery Physician
  • Tyrone, PA
  • NPI 1235207077
  Medicare reassignment Care Compare group NPD
• Vipul Sharma, MD

  • Interventional Pain Medicine Physician
  • Hamburg, PA
  • NPI 1538504949
  Medicare reassignment Care Compare group NPD
• Arjun Sharma, M.D.

  • Diagnostic Radiology Physician
  • Washington, DC
  • NPI 1619396934

  PA

  Medicare reassignment Care Compare group NPD
• Zafar Iqbal Chowdhry, MD

  • Neurological Surgery Physician
  • Johnstown, PA
  • NPI 1881601508
  Medicare reassignment NPD
• Victor Chukwuemeka Udekwu, M.D

  • Neurological Surgery Physician
  • Wilkes Barre, PA
  • NPI 1043541956
  Medicare reassignment NPD

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1497902910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 PROGRESS AVE",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012968",
            "telephone_number": "570-622-5616",
            "fax_number": "570-622-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 PROGRESS AVE STE 120",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012968",
            "telephone_number": "570-622-5616",
            "fax_number": "570-622-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PAIN PROFESSIONALS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "ASHOK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-449-3824",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102209170",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Elizabeth Puddu, DMD

• Pain Medicine (Anesthesiology) Physician in Pottsville, PA
• Providers in Pottsville, PA by specialty
• Pain Medicine (Anesthesiology) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.