Provider Demographics
NPI:1750356085
Name:YORK ADAMS PAIN SPECIALISTS PC
Entity type:Organization
Organization Name:YORK ADAMS PAIN SPECIALISTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERRENCE
Authorized Official - Middle Name:M
Authorized Official - Last Name:CALDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-637-0943
Mailing Address - Street 1:250 FAME AVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-1587
Mailing Address - Country:US
Mailing Address - Phone:717-637-0943
Mailing Address - Fax:717-633-7829
Practice Address - Street 1:250 FAME AVE
Practice Address - Street 2:SUITE 120
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-1587
Practice Address - Country:US
Practice Address - Phone:717-637-0943
Practice Address - Fax:717-633-0257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-21
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA17561501261QP3300X
261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA076416Medicare PIN