MEDICARE: PAIN MED P C

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		PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	643235	OTHER	PA	HIGHMARK GROUP NUMBER

General Provider Information

NPI Number	:	1013948538
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAIN MED P C

Provider Business Mailing Address
First Line	:	115 CENTER AVE
Second Line	:
City	:	ASPINWALL
State	:	PA
Zip	:	15215-3016
Country	:	US
Telephone Number	:	412-782-1500
Fax Number	:	412-782-1505

Provider Business Practice Location Address
First Line	:	438 PELLIS RD
Second Line	:	SUITE 203
City	:	GREENSBURG
State	:	PA
Zip	:	15601-7900
Country	:	US
Telephone Number	:	412-782-1500
Fax Number	:	412-782-1505

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MICHAEL TOSHOK
Credential	:	D.O.
Telephone Number	:	412-782-1500

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	07/21/2022

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Directions to “PAIN MED P C ” Practice Location

Language	Start Address	Practice Location

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