Center for Interventional Pain Spine LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CENTER FOR INTERVENTIONAL PAIN SPINE LLC

Practice address

140 Clemens Rd Ste 104
Harleysville, PA 19438-2010

Phone

(844) 365-7246

Fax

(610) 426-3052

NPI assigned

Oct 7, 2020

Last updated

Nov 30, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

CENTER FOR INTERVENTIONAL PAIN SPINE LLCAs reported in NPPES

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

Authorized official

Name

Stefanie Paulus

Title

Administrator

Phone

(844) 365-7246

Specialties & licenses 1

Addresses

Part of

Center for Inter Pain Spine

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1942807391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 WILMINGTON W CHESTER PIKE STE 214",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179007",
            "telephone_number": "844-365-7246",
            "fax_number": "610-361-7956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 CLEMENS RD STE 104",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194382010",
            "telephone_number": "844-365-7246",
            "fax_number": "610-426-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR INTERVENTIONAL PAIN SPINE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER FOR INTERVENTIONAL PAIN SPINE LLC",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "PAULUS",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "844-365-7246"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Capetola, CRNP
• Carelink Community Support Services
• Curt C Carlier, MD
• Clayton R Cartwright, DPT, ATC
• Diane B. Catania, O.D.
• Kenneth Charleston
• Rachana Chokshi, OD
• Nadine Chudoba
• Frank Joseph Ciuba, DPT, MS
• Karen M Clapper, CCC SLP L

• Durable Medical Equipment & Medical Supplies in Harleysville, PA
• Providers in Harleysville, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.