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ADVANCED PAIN MEDICINE MOON
NPI 1619233079
Specialist in Moon Twp, PA

Active since April 10, 2012CLIA 39D1091457 · Certificate of Compliance
1009 BEAVER GRADE RD, STE 100, MOON TWP, PA 15108(724) 933-0300(724) 933-0456 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Advanced Pain Medicine Moon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED PAIN MEDICINE MOON (NPI 1619233079) is a healthcare organization registered as a specialist in Moon Twp, Pennsylvania and active in the NPI registry since April 2012. The organization holds a CLIA Certificate of Compliance certificate valid through April 20, 2027 and lists Mark Lodico, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1619233079
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameADVANCED PAIN MEDICINE PC
Location Address1009 BEAVER GRADE RD, STE 100Moon Twp, PA 15108-2969
Mailing Address7000 Stonewood Dr, Ste 151Wexford, PA 15090-7376
Phone(724) 933-0300
Fax(724) 933-0456
Organization SubpartNo
Authorized OfficialMark LodicoMedical Director · (724) 933-0300
Enumeration DateApril 10, 2012
Last NPPES UpdateAugust 24, 2022
NPPES CertifiedAugust 24, 2022
✔ NPI 1619233079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1009 BEAVER GRADE RD, Moon Twp, PA 15108
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Other Names 1

Doing Business AsAdvanced Pain Medicine Moon

Other Identifiers 1

Medicaid0077653000002PA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 39D1091457

Advanced Pain Medicine · Moon Township, PA
Active · expires Apr 20, 2027
CLIA Number39D1091457
Laboratory TypePhysician Office
Certificate Effective DateApril 21, 2025
Certificate Expiration DateApril 20, 2027
Laboratory DirectorDr. Stanley J. Geyer
Laboratory Phone(724) 771-2314
Laboratory LocationAdvanced Pain Medicine1009 Beaver Grade Road, Moon Township, PA 15108
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JUDY L DISANTI D.M.D.
Dentist
1009 BEAVER GRADE RD, SUITE 300
CORAOPOLIS, PA 15108
Allegheny County (412) 264-6229
JUDY L. DISANTI, DMD LLC
Dentist
1009 BEAVER GRADE RD, SUITE 300
CORAOPOLIS, PA 15108
Allegheny County (412) 264-6229

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Pain Medicine PC's NPI number?

The NPI number for Advanced Pain Medicine PC is 1619233079. It was assigned to this organization in the NPPES registry on April 10, 2012. The provider is doing business as Advanced Pain Medicine Moon.

Where is Advanced Pain Medicine PC located?

Advanced Pain Medicine PC is located at 1009 Beaver Grade Rd Ste 100, Moon Twp, PA 15108. The listed phone number is (724) 933-0300.

What is Advanced Pain Medicine PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Advanced Pain Medicine PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 39D1091457) is associated with this NPI, valid through April 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Pain Medicine PC was last updated on August 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.