Active NPI
Center for Pain Medicine PC
- Pain Medicine (Anesthesiology) Physician
- Havertown, PA
National Provider Identifier
1841277464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- MD027057E
- Legal business name
- CENTER FOR PAIN MEDICINE PC
- Practice address
- 2010 Old West Chester Pike
Ste. 330
Havertown, PA 19083-2712 - Phone
- (610) 789-8070
- NPI assigned
- Dec 23, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Goldstein, M.D.
- Title
- Co-Owner
- Phone
- (610) 789-8070
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | MD027057E | PA | Primary |
Addresses
Primary practice location
2010 Old West Chester Pike
Ste. 330
Havertown, PA 19083-2712
Mailing address
PO Box 8500-4066
Philadelphia, PA 19718-4066
Phone (302) 709-4497
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000014095 | Medicaid | DE | |
| 0019015850004 | Medicaid | PA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Havertown, PA
- NPI 1164417648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184803200000",
"number": "1841277464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8500-4066",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "197184066",
"telephone_number": "302-709-4497",
"fax_number": "302-733-0854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 OLD WEST CHESTER PIKE",
"address_2": "STE. 330",
"city": "HAVERTOWN",
"state": "PA",
"postal_code": "190832712",
"telephone_number": "610-789-8070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR PAIN MEDICINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-23",
"last_updated": "2007-07-19",
"status": "A",
"authorized_official_last_name": "GOLDSTEIN",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "610-789-8070",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "PA",
"license": "MD027057E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000014095",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019015850004",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Havertown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.