Pain Diagnostics & Interventional Care LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

PAIN DIAGNOSTICS & INTERVENTIONAL CARE LLC

Practice address

301 Ohio River Blvd
Suite 203
Sewickley, PA 15143-1300

Phone

(412) 221-7640

Fax

(412) 490-9850

NPI assigned

Aug 6, 2013

Organization subpart

No

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

Authorized official

Name

Dr. David Anthony Provenzano, MDNPI 1790796233

Title

President

Phone

(412) 860-4644

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Provenzano, MD

  • Interventional Pain Medicine Physician
  • Sewickley, PA
  • NPI 1790796233
  Medicare reassignment Care Compare group NPD Authorized official
• Victoria Doan, FNP-C

  • Family Nurse Practitioner
  • Sewickley, PA
  • NPI 1821876087
  Medicare reassignment Care Compare group NPD
• Maureen Murphy Ginsburg, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • West Mifflin, PA
  • NPI 1245545813
  Medicare reassignment Care Compare group NPD
• Deborah A James, APRN

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1891528725

  PA

  Medicare reassignment Care Compare group NPD
• Cara Nicole Casilli, PA-C

  • Physician Assistant
  • Sewickley, PA
  • NPI 1508522087
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1548692031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 203",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150170203",
            "telephone_number": "412-221-7640",
            "fax_number": "412-490-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 OHIO RIVER BLVD",
            "address_2": "SUITE 203",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431300",
            "telephone_number": "412-221-7640",
            "fax_number": "412-490-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN DIAGNOSTICS & INTERVENTIONAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-06",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "PROVENZANO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-860-4644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ophthalmology Associates of Osborne Inc.
• Ophthalmology Associates of Osborne Inc.
• Elise Marie Orban, CRNP
• Michael A Orsini, MD
• Kathleen M Osten, M.D.
• Jessica Palady, PA-C
• Palliative Care Associates, LLC (Palliative Care Associates of Pittsburgh)
• Kamala Palmer, PH.D., LPC
• Alexandra Styliani Panagis, PA-C
• Thomas LM Pangburn, M.D.

• Pain Medicine (Anesthesiology) Physician in Sewickley, PA
• Providers in Sewickley, 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 Oct 14, 2013; 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.