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ELITE PAIN MANAGEMENT LLC NPI 1609257773


NPI Information

NPI: 1609257773
Provider Name: ELITE PAIN MANAGEMENT, LLC
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
1230 E KINGSLEY ST STE C
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 553-1080
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ELITE PAIN MANAGEMENT, LLC is a pain medicine physical medicine rehabilitation in Springfield, MO. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. ELITE PAIN MANAGEMENT, LLC NPI is 1609257773. The provider is registered as an organization entity type.

The provider's business location address is:

1230 E KINGSLEY ST STE C
SPRINGFIELD, MO
ZIP 65804-231
Phone: (417) 553-1080
Fax: (888) 472-5145

The provider's authorized official is David M. Tonkin .
The authorized official title is Doctor and has the following contact phone number (417) 720-4991.

The enumeration date for this NPI number is 6/15/2015 and was last updated on 10/9/2023.


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
1332B00000XDurable Medical Equipment & Medical SuppliesMISSOURINo
22081P2900XPhysical Medicine & RehabilitationPain MedicineYes

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
12007017247OTHERMISSOURIMISSOURI MEDICAL LICENSE
27422650001OTHERMISSOURINATIONAL SUPPLIER CLEARING HOUSE MEDICARE DMEPOS

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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