Philadelphia Pain and Neurology Institute, LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

PHILADELPHIA PAIN AND NEUROLOGY INSTITUTE, LLC

Doing business as

Philadelphia Pain and Neurology Institute, LLC

Practice address

1528 Walnut Street Suite 620
Philadelphia, PA 19102

Phone

(215) 433-1575

Fax

(215) 732-1649

NPI assigned

Nov 27, 2018

Last updated

Nov 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Keith Michael Miller, DC

Title

Provider

Phone

(215) 433-1575

Specialties & licenses 3

Addresses

Other names 1

• Philadelphia Pain and Neurology Institute, LLC Doing business as

Locations

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543276800000",
    "number": "1750851390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 WALNUT STREET SUITE 620",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19102",
            "telephone_number": "215-433-1575",
            "fax_number": "215-732-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 WALNUT STREET SUITE 620",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19102",
            "telephone_number": "215-433-1575",
            "fax_number": "215-732-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA PAIN AND NEUROLOGY INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-11-27",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "215-433-1575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Philadelphia Pain and Neurology Institute, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Philadelphia Orthotics and Prosthetics, Inc.
• Philadelphia Pain Practice
• Philadelphia Pharmacy Inc (Philadelphia Pharmacy)
• Philadelphia Post Acute Partners, LLC (Good Shepherd Penn Partners Specialty Hospital at Rittenhouse)
• Philadelphia Post Acute Partners, LLC (Penn Medicine Good Shepherd Rehabilitation)
• Philadelphia Post-Acute Partners LLC (GSPP Physician Group)

• Interventional Pain Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Interventional Pain Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.