Provider Demographics
NPI:1871834085
Name:PAIN MED PC
Entity Type:Organization
Organization Name:PAIN MED PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:TOSHOK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:412-782-1500
Mailing Address - Street 1:115 CENTER AVE
Mailing Address - Street 2:
Mailing Address - City:ASPINWALL
Mailing Address - State:PA
Mailing Address - Zip Code:15215-3016
Mailing Address - Country:US
Mailing Address - Phone:412-782-1500
Mailing Address - Fax:
Practice Address - Street 1:440 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MONONGAHELA
Practice Address - State:PA
Practice Address - Zip Code:15063-2565
Practice Address - Country:US
Practice Address - Phone:412-782-1500
Practice Address - Fax:412-782-1505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-13
Last Update Date:2013-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS006805L207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA075846Medicare PIN