CHARLES H. TADLOCK M.D. LTD. NPI 1548422876

NPI Information

NPI: 1548422876
Provider Name: CHARLES H. TADLOCK, M.D. LTD.

Doing Business As: CENTER FOR PAIN MANAGEMENT

Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
1912 MIAMI AVE
KINGMAN, AZ
ZIP 86401
Phone: (702) 474-0200
Get Directions

CHARLES H. TADLOCK, M.D. LTD. is a pain medicine anesthesiology in Kingman, AZ. 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. CHARLES H. TADLOCK, M.D. LTD. NPI is 1548422876. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Center For Pain Management.

The provider's business location address is:

1912 MIAMI AVE
KINGMAN, AZ
ZIP 86401-127
Phone: (702) 474-0200
Fax: (702) 946-5328

The provider's authorized official is Tammy R Shaffer .
The authorized official title is Administrator and has the following contact phone number (702) 474-0200.

The enumeration date for this NPI number is 6/27/2008 and was last updated on 2/18/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	4873	ARIZONA	No
2	363LF0000X	Nurse Practitioner	Family	AP4247	ARIZONA	No
3	207LP2900X	Anesthesiology	Pain Medicine	26067	ARIZONA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Z146133	OTHER	ARIZONA	MEDICARE PIN GERALD JONES, PA-C
2	Z149395	OTHER	ARIZONA	MEDICARE PIN JULIE BROWN, FNP
3	720000127	OTHER	ARIZONA	RR MEDICARE
4	069618	MEDICAID	ARIZONA
5	35713	MEDICARE PIN	ARIZONA
6	35714	OTHER	ARIZONA	MEDICARE INDIVIDUAL PIN (TADLOCK)

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »