NPIMap

Organization Active NPI

Frankford Medical and Pain Management LLC

  • Addiction Medicine (Family Medicine) Physician
  • Philadelphia, PA
National Provider Identifier
1992948038
Registry record updated Apr 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
MD044909E Issued in PA
Legal business name
FRANKFORD MEDICAL AND PAIN MANAGEMENT LLC
Practice address
4911 Frankford Ave
Philadelphia, PA 19124-2617
Phone
(215) 288-0159
Fax
(215) 288-0169
NPI assigned
Apr 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2009

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

Authorized official

Name
Dr. Kevin Anthony Chavarria, M. D.
Title
Manager
Phone
(215) 288-0159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0401X MD044909E PA Primary

Addresses

Primary practice location

4911 Frankford Ave
Philadelphia, PA 19124-2617

Mailing address

PO Box 23169
Philadelphia, PA 19124-0169
Phone (215) 288-0159

National Provider Directory

National Provider Directory

Locations

4911 Frankford Ave
Philadelphia, PA 19124
Phone (215) 288-0159

NPI Registry JSON

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1992948038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23169",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191240169",
            "telephone_number": "215-288-0159",
            "fax_number": "215-288-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242617",
            "telephone_number": "215-288-0159",
            "fax_number": "215-288-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKFORD MEDICAL AND PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-17",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "CHAVARRIA",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "215-288-0159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "PA",
            "license": "MD044909E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; 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.