South Philadelphia Pain Management

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SOUTH PHILADELPHIA PAIN MANAGEMENT

Practice address

1732 S Broad St
Philadelphia, PA 19145-2321

Phone

(215) 755-7595

Fax

(215) 755-7608

NPI assigned

May 22, 2007

Last updated

May 8, 2009By 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

Mindy Guss

Title

Billing

Phone

(215) 750-9600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1790994838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1006",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205006",
            "telephone_number": "215-755-7595",
            "fax_number": "215-755-7608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452321",
            "telephone_number": "215-755-7595",
            "fax_number": "215-755-7608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PHILADELPHIA PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "GUSS",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "215-750-9600"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Philadelphia Dental Associates
• South Philadelphia Dental Group
• South Philadelphia Family Medicine
• South Philadelphia Open MRI, LLC (South Philadelphia Open MRI)
• South Philadelphia Orthodontic Associates
• South Philadelphia Pediatrics
• South Philadelphia PS
• South Philly Chiropractic, LLC
• South Philly East Health and Wellness (Hansjorg Wyss Wellness Center)
• South Philly Home Care

• General Practice Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.