OrganizationActive
Spine Center of PA LLC
NPI 1104465681 · Interventional Pain Medicine Physician · Erie, PA
Provider details
- NPI number
- 1104465681
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Anish Patel, Owner(301) 620-0012
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2374 Village Common Dr Ste 100
Erie, PA 16506-7201
Phone: (814) 833-7246
Street-level locationGet directions
Mailing address
3060 Williams Dr Ste 510
Fairfax, VA 22031-4648
Registry dates
- Enumerated
- 2019-12-31
- Last updated
- 2019-12-31
- Certified
- 2019-12-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.