NPIMap

Organization Active NPI

Pain Center of Western Pennsylvania, Inc

  • Pain Medicine (Anesthesiology) Physician
  • Hermitage, PA
National Provider Identifier
1801804612
Registry record updated Jan 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
PAIN CENTER OF WESTERN PENNSYLVANIA, INC
Practice address
3120 Highland Rd
Suite 102
Hermitage, PA 16148-4512
Phone
(724) 342-1833
NPI assigned
Aug 4, 2006
Last updated
Jan 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2012

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

Authorized official

Name
Mary Ann Weiner
Title
Manager
Phone
(724) 342-1833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X Primary

Addresses

Primary practice location

3120 Highland Rd
Suite 102
Hermitage, PA 16148-4512

Mailing address

PO Box 1032
Hermitage, PA 16148-0032

Other identifiers 1

IdentifierTypeStateIssuer
0012389700026MedicaidPA

National Provider Directory

National Provider Directory

Locations

3120 Highland Rd
Ste 102
Hermitage, PA 16148
Phone (724) 342-1833

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327795200000",
    "number": "1801804612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1032",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161480032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 HIGHLAND RD",
            "address_2": "SUITE 102",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161484512",
            "telephone_number": "724-342-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CENTER OF WESTERN PENNSYLVANIA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2012-01-29",
        "status": "A",
        "authorized_official_last_name": "WEINER",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "724-342-1833"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012389700026",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2012; 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.