Healthcare Provider Details

I. General information

NPI: 1548239551
Provider Name (Legal Business Name): CENTER FOR PAIN RELIEF, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 05/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3402 WASHINGTON RD
MC MURRAY PA
15317-2964
US

IV. Provider business mailing address

3402 WASHINGTON RD
MC MURRAY PA
15317-2964
US

V. Phone/Fax

Practice location:
  • Phone: 724-942-5188
  • Fax: 724-942-5878
Mailing address:
  • Phone: 724-942-5188
  • Fax: 724-942-5878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1007304770003
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name: JAY L KARPEN
Title or Position: OWNER/FOUNDER
Credential: MD
Phone: 724-942-5188