MEDICARE: PAIN SPINE & JOINT CENTER OF THE ALLEGHENIES PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician

General Provider Information

NPI Number	:	1598414930
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAIN SPINE & JOINT CENTER OF THE ALLEGHENIES PC

Provider Business Mailing Address
First Line	:	10 TIMBERVIEW LN
Second Line	:
City	:	RUSSELL
State	:	PA
Zip	:	16345-4150
Country	:	US
Telephone Number	:	814-757-5819
Fax Number	:	814-757-5829

Provider Business Practice Location Address
First Line	:	10 TIMBERVIEW LN
Second Line	:
City	:	RUSSELL
State	:	PA
Zip	:	16345-4150
Country	:	US
Telephone Number	:	814-757-5819
Fax Number	:	814-757-5829

Authorized Official
Title or Position	:	OWNER
Name	:	DR. TIMOTHY WALTER VOLLMER
Credential	:	DO
Telephone Number	:	814-335-3054

Provider Enumeration Date	:	03/22/2022
Last Update Date	:	03/22/2022

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Directions to “PAIN SPINE & JOINT CENTER OF THE ALLEGHENIES PC ” Practice Location

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