OrganizationActive
Interventional Pain & Spine Center PLLC
NPI 1114768843 · Pain Medicine (Psychiatry & Neurology) Physician · Wexford, PA
Provider details
- NPI number
- 1114768843
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mohammad Ali, Authorized Official(724) 965-8946
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinical Neurophysiology Physician2084N0600X
Allopathic & Osteopathic Physicians
- Interventional Pain Medicine Physician208VP0014X
Allopathic & Osteopathic Physicians
Practice location
100 Bradford Road
Ste 410
Wexford, PA 15090-8489
Phone: (724) 965-8946
Fax: (724) 965-8953
Approximate (ZIP-level) locationGet directions
Mailing address
100 Bradford Road
Wexford, PA 15090-8489
Registry dates
- Enumerated
- 2024-06-05
- Last updated
- 2024-09-11
- Certified
- 2024-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.