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PAIN TREATMENT CENTER INC NPI 1295827665


NPI Information

NPI: 1295827665
Provider Name: PAIN TREATMENT CENTER INC
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
2821 N BALLAS RD
SUITE C-11
SAINT LOUIS, MO
ZIP 63131
Phone: (314) 872-5601
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PAIN TREATMENT CENTER INC is a pain medicine anesthesiology in Saint Louis, MO. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. PAIN TREATMENT CENTER INC NPI is 1295827665. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2821 N BALLAS RD
SUITE C-11
SAINT LOUIS, MO
ZIP 63131-321
Phone: (314) 872-5601
Fax: (314) 872-5628

The provider's authorized official is John David Graham .
The authorized official title is Owner President and has the following contact phone number (314) 872-5601.

The enumeration date for this NPI number is 9/29/2006 and was last updated on 4/5/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207LP2900XAnesthesiologyPain Medicine036092540ILLINOISNo
2207LP2900XAnesthesiologyPain Medicine109904MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1322628OTHERHEALTHLINK
2114762OTHERMISSOURIBCBS
32000288OTHERUNITED HEATHCARE
430087OTHERGHP
5F36415MEDICARE UPIN
6540940MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
7514766005OTHERTRICARE NORTH WEST
8000094147MEDICARE ID-TYPE UNSPECIFIEDMISSOURI
928931OTHERMISSOURICMR
1028931OTHERGHP ASO LHI
110004669135OTHERAETNA
12050065227OTHERRR MEDICARE
13115491OTHERMERCY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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