Three Rivers Pain Management Associates PLLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

THREE RIVERS PAIN MANAGEMENT ASSOCIATES PLLC

Practice address

236 Elm Dr Ste 105
Waynesburg, PA 15370-8265

Phone

(724) 812-5580

NPI assigned

Sep 4, 2018

Organization subpart

No

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

Authorized official

Name

Sudhakar B. Mannam, M.D

Title

Medical Director

Phone

(724) 812-5580

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1770065997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 W INGOMAR RD UNIT 116",
            "city": "INGOMAR",
            "state": "PA",
            "postal_code": "151276604",
            "telephone_number": "201-804-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 ELM DR STE 105",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153708265",
            "telephone_number": "724-812-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS PAIN MANAGEMENT ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-04",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "MANNAM",
        "authorized_official_first_name": "SUDHAKAR",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "724-812-5580",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine (Anesthesiology) Physician in Waynesburg, PA
• Providers in Waynesburg, 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 23, 2023; 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.