Provider Demographics
NPI:1548239551
Name:CENTER FOR PAIN RELIEF, PC
Entity Type:Organization
Organization Name:CENTER FOR PAIN RELIEF, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:JAY
Authorized Official - Middle Name:L
Authorized Official - Last Name:KARPEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-942-5188
Mailing Address - Street 1:3402 WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-2964
Mailing Address - Country:US
Mailing Address - Phone:724-942-5188
Mailing Address - Fax:724-942-5878
Practice Address - Street 1:3402 WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-2964
Practice Address - Country:US
Practice Address - Phone:724-942-5188
Practice Address - Fax:724-942-5878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-14
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007304770003Medicaid
PAE36347Medicare UPIN
PA1007304770003Medicaid