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INTERVENTIONAL PAIN CONSULTANTS PLLC NPI 1336640507


NPI Information

NPI: 1336640507
Provider Name: INTERVENTIONAL PAIN CONSULTANTS, PLLC

Other Name: ELITE PAIN CONSULTANTS OF KNOXVILLE

Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 44D2148638

Address:
11416 GRIGSBY CHAPEL RD STE 104
KNOXVILLE, TN
ZIP 37934
Phone: (865) 218-2100
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INTERVENTIONAL PAIN CONSULTANTS, PLLC is an interventional pain medicine pain medicine in Knoxville, TN. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. INTERVENTIONAL PAIN CONSULTANTS, PLLC NPI is 1336640507. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Elite Pain Consultants Of Knoxville.

The provider's business location address is:

11416 GRIGSBY CHAPEL RD STE 104
KNOXVILLE, TN
ZIP 37934-649
Phone: (865) 218-2100

The provider's authorized official is Cassy Elledge .
The authorized official title is Revenue Director and has the following contact phone number (423) 476-5774.

The CLIA number assigned to this NPI record is 44D2148638 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/23/2018 and was last updated on 3/3/2022.


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
1208VP0014XPain MedicineInterventional Pain MedicineTENNESSEEYes

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
17741470002OTHERMEDICARE NSC

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: 11/14/2023

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