Pain Management of Williamsport, LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

MD435280 Issued in PA

Legal business name

PAIN MANAGEMENT OF WILLIAMSPORT, LLC

Practice address

553 E 3Rd St
Williamsport, PA 17701-5316

Phone

(570) 323-3106

Fax

(570) 323-3606

NPI assigned

Jul 5, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ayaz M KhanNPI 1629052188

Title

M.D.

Phone

(570) 323-3106

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Ayaz M Khan, M.D.

  • Addiction Medicine (Anesthesiology) Physician
  • Williamsport, PA
  • NPI 1629052188
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341446400000",
    "number": "1821353871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 E 3RD ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177015316",
            "telephone_number": "570-323-3106",
            "fax_number": "570-323-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 E 3RD ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177015316",
            "telephone_number": "570-323-3106",
            "fax_number": "570-323-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT OF WILLIAMSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-07-05",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "AYAZ",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "570-323-3106",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "PA",
            "license": "MD435280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Ann Packard, D.O.
• Alexandria Maria Pagana, M.D.
• Timothy James Pagana, MD
• William Joseph Pagana, MD
• Airneezer Paige-Delahaye, PTA
• Melissa Palski
• Pamela Wollet, LCSW LLC
• Jennifer Panaccio
• Melissa Ann Pandolfi, PA
• Sunil Parkash, MD

• Pain Clinic/Center in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Pain Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.