Provider Demographics
NPI:1265488308
Name:CLINICAL PAIN MANAGEMENT ASSOCIATES, PC
Entity Type:Organization
Organization Name:CLINICAL PAIN MANAGEMENT ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:RIZZO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-785-0145
Mailing Address - Street 1:333 N OXFORD VALLEY RD
Mailing Address - Street 2:SUITE 510
Mailing Address - City:FAIRLESS HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19030-2624
Mailing Address - Country:US
Mailing Address - Phone:215-949-3100
Mailing Address - Fax:215-949-8521
Practice Address - Street 1:333 N OXFORD VALLEY RD
Practice Address - Street 2:SUITE 510
Practice Address - City:FAIRLESS HILLS
Practice Address - State:PA
Practice Address - Zip Code:19030-2624
Practice Address - Country:US
Practice Address - Phone:215-949-3100
Practice Address - Fax:215-949-8521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50001468OtherCAPITAL BLUE CROSS
PA962740OtherPA BLUE SHIELD
PA33029OtherKEYSTONE MERCY
PAA3190544OtherOXFORD
PADD1386OtherRAILROAD MEDICARE
PA0422856000OtherKEYSTONE CENTRAL
PA0964596OtherAETNA
PADB0435OtherRAILROAD MEDICARE
PA0422856000OtherKEYSTONE HEALTH PLAN EAST
NJ1201547OtherAETNA
PA962740OtherPERSONAL CHOICE
PA33029OtherHORIZON MERCY
PA0073566950002Medicaid
PA0422856000OtherAMERIHEALTH
PA=========OtherUNITED HEALTHCARE
PA962740OtherPA BLUE SHIELD
PAA3190544OtherOXFORD
PA0422856000OtherKEYSTONE CENTRAL
PA962740OtherPERSONAL CHOICE
NJ=========OtherHORIZON BLUE CROSS/BLUE SHIELD
PA=========OtherHEALTH AMERICA/HEALTH ASSURANCE