Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mount Nittany Medical Center

Organization Pain Clinic/Center · NPI 1104991801

Mount Nittany Medical Center is a Pain Clinic/Center in State College, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006

Practice location Address checks out

1700 Old Gatesburg Rd Ste 100
State College, PA 16803-2276
Phone: (814) 237-3360
Fax: (814) 231-7098
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Clinic/Center (primary) Taxonomy 261QP3300X · Licence 550301 (PA)

Record details

NPI number1104991801
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bryan Roach — Cfo · (814) 234-6148
Other names Mount Nittany Pain Center; Mount Nittany Pain Center
NPI enumeratedNovember 21, 2006
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026
Mailing address155 Wellness Way, State College, PA 16803-6702

Other providers in State College