Organization Active NPI

Pain Control Center of Pittsburgh Inc

  • Pain Medicine (Anesthesiology) Physician
  • Monaca, PA
National Provider Identifier
1790967990
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
PAIN CONTROL CENTER OF PITTSBURGH INC
Practice address
3627 Brodhead Rd
Monaca, PA 15061-2681
Phone
(724) 728-7880
Fax
(724) 728-7881
NPI assigned
Nov 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Authorized official

Name
Gerard A Myers, D.O.NPI 1740235944
Title
Medical Director
Phone
(724) 728-7880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X PA Primary

Addresses

Primary practice location

3627 Brodhead Rd
Monaca, PA 15061-2681

Mailing address

3627 Brodhead Rd
Monaca, PA 15061-2681
Phone (724) 728-7880

Other identifiers 2

IdentifierTypeStateIssuer
001518564OtherBLUE CROSS
2534690OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031111000004 PA Part B Supplier - Clinic/Group Practice 5890608343 Receives reassigned benefits from 3 practitioners
Practice locations: Monaca, PA

National Provider Directory

National Provider Directory

Locations

3627 Brodhead Rd
Monaca, PA 15061
Phone (412) 855-6077

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1790967990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3627 BRODHEAD RD",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "150612681",
            "telephone_number": "724-728-7880",
            "fax_number": "724-728-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3627 BRODHEAD RD",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "150612681",
            "telephone_number": "724-728-7880",
            "fax_number": "724-728-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CONTROL CENTER OF PITTSBURGH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "724-728-7880",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "001518564",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2534690",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monaca, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.