Provider Type Icon

PROFESSIONAL PHYSICIANS PAIN SERVICES LLC NPI 1487980660


NPI Information

NPI: 1487980660
Provider Name: PROFESSIONAL PHYSICIANS PAIN SERVICES, LLC

Doing Business As: PROFESSIONAL PAIN PHYSICIANS

Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
10012 KENNERLY RD
SUITE 404
SAINT LOUIS, MO
ZIP 63128
Phone: (314) 729-7100
Get Directions

PROFESSIONAL PHYSICIANS PAIN SERVICES, LLC 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. PROFESSIONAL PHYSICIANS PAIN SERVICES, LLC NPI is 1487980660. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Professional Pain Physicians.

The provider's business location address is:

10012 KENNERLY RD
SUITE 404
SAINT LOUIS, MO
ZIP 63128-197
Phone: (314) 729-7100
Fax: (314) 729-0292

The provider's authorized official is Michael Scott Boedefeld .
The authorized official title is Partner and has the following contact phone number (314) 729-7100.

The enumeration date for this NPI number is 10/23/2009 and was last updated on 11/16/2009.


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 MedicineMISSOURIYes

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
1F62832MEDICARE UPINMISSOURI
2I28749MEDICARE UPINMISSOURI
3I58101MEDICARE UPINMISSOURI

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.