Provider Type Icon

CAPE COD PAIN MANAGEMENT PC NPI 1073566410


NPI Information

NPI: 1073566410
Provider Name: CAPE COD PAIN MANAGEMENT, PC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
68 N MAIN ST
CARVER, MA
ZIP 02330
Phone: (508) 747-7246
Get Directions

CAPE COD PAIN MANAGEMENT, PC is an interventional pain medicine pain medicine in Carver, MA. 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. CAPE COD PAIN MANAGEMENT, PC NPI is 1073566410. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

68 N MAIN ST
CARVER, MA
ZIP 02330
Phone: (508) 747-7246
Fax: (508) 747-7256

The provider's authorized official is David Gannon .
The authorized official title is President and has the following contact phone number (508) 747-7246.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 4/24/2024.


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
1207L00000XAnesthesiologyMASSACHUSETTSNo
2208VP0014XPain MedicineInterventional Pain MedicineMASSACHUSETTSYes

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
19785825MEDICAIDMASSACHUSETTS

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.