Haverfort Pain Management LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

HAVERFORT PAIN MANAGEMENT LLC

Practice address

7592 Haverfort Ave
Philadelphia, PA 19151-2113

Phone

(267) 934-4040

NPI assigned

Jan 15, 2010

Organization subpart

No

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

Authorized official

Name

Andrew Polnet

Title

President

Phone

(267) 934-4040

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1780915603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7592 HAVERPORT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191510000",
            "telephone_number": "267-934-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7592 HAVERFORT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191512113",
            "telephone_number": "267-934-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVERFORT PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "POLNET",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-934-4040"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Havens, ATC, OTC
• Jacob Aaron Havens, DO
• Lauren Michael Havens, MD
• Haverford Comprehensive Wellness, P.C.
• Haverford Dental P.C.
• Valorie S Haves, MD
• Eve Havivi
• Viktoriya Havrylyuk, DMD
• Evan Hawbaker, M.D.
• Kenna Christine Hawes

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.