OrganizationActive
Fox Chase Cancer Center Medical Group, Inc
NPI 1487928636 · Pain Medicine Physician · Philadelphia, PA
Provider details
- NPI number
- 1487928636
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tonya Woodard, Credentialing/Manager(215) 707-3911
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Interventional Pain Medicine Physician208VP0014X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
333 Cottman Ave
Fox Chase Cancer Center
Philadelphia, PA 19111-2434
Phone: (215) 728-3544
Fax: (215) 214-3901
Street-level locationGet directions
Mailing address
2450 W Hunting Park Ave
Philadelphia, PA 19129-1302
Other names (DBA / former)
- Doing business as
- Pain Mana Assoc of Fccc, Mgi
- Doing business as
- Pain Mana Assoc of Fccc, Mgi
Registry dates
- Enumerated
- 2012-03-06
- Last updated
- 2018-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.