West Shore Pain and Spine Institute, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

WEST SHORE PAIN AND SPINE INSTITUTE, LLC

Practice address

5124 E Trindle Rd
Mechanicsburg, PA 17050-3688

Phone

(717) 652-8670

Fax

(717) 920-3261

NPI assigned

Aug 5, 2016

Organization subpart

No

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

Authorized official

Name

Malik Momin, M.D.NPI 1023096708

Title

Medical Director

Phone

(717) 901-5008

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Listed as

West Shore Pain and Spine Institute LLCCCN 39C0001323

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 2

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

• Malik Momin, M.D.

  • Anesthesiology Physician
  • Harrisburg, PA
  • NPI 1023096708
  NPD Authorized official
• Norman W Haueisen, DO

  • Physical Medicine & Rehabilitation Physician
  • Harrisburg, PA
  • NPI 1942288626
  NPD (past)

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470355200000",
    "number": "1851845986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 SIR THOMAS CT",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094839",
            "telephone_number": "717-901-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5124 E TRINDLE RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170503688",
            "telephone_number": "717-652-8670",
            "fax_number": "717-920-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SHORE PAIN AND SPINE INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-05",
        "last_updated": "2016-08-05",
        "status": "A",
        "authorized_official_last_name": "MOMIN",
        "authorized_official_first_name": "MALIK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "717-901-5008",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Michele Wert, M.A., B.C.B.A.
• Gede' Wesley-Kiepea, CRNP
• West Eye Associates LLP
• West Shore Family Practice PC
• West Shore Oral Surgery, PLLC
• West Shore Surgery, LTD
• Cynthia G West, M.D.
• Stephen B West, OD
• Morgan Westerlund
• Kristin Westrick, MA, NCC, LPC

• Ambulatory Surgical Clinic/Center in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.