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PAIN MANAGEMENT PARTNERS LLC NPI 1558557959


NPI Information

NPI: 1558557959
Provider Name: PAIN MANAGEMENT PARTNERS LLC
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
1585 WOODLAKE DRIVE
SUITE 214
CHESTERFIELD, MO
ZIP 63017
Phone: (314) 205-8858
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PAIN MANAGEMENT PARTNERS LLC is a rehabilitation clinic center in Chesterfield, MO. PAIN MANAGEMENT PARTNERS LLC NPI is 1558557959. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1585 WOODLAKE DRIVE
SUITE 214
CHESTERFIELD, MO
ZIP 63017-740
Phone: (314) 205-8858
Fax: (314) 205-2113

The provider's authorized official is Michael A Vishion .
The authorized official title is Owner and has the following contact phone number (314) 275-8737.

The enumeration date for this NPI number is 9/19/2007 and was last updated on 11/29/2012.


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
1208100000XPhysical Medicine & RehabilitationNo
2261QR0400XClinic/CenterRehabilitationYes

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
16326800001MEDICARE NSCMISSOURI
21558557959MEDICAIDMISSOURI
3MA2249MEDICARE PINMISSOURI

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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