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PAIN MD LLC NPI 1114320108


NPI Information

NPI: 1114320108
Provider Name: PAIN MD LLC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
980 PROFESSIONAL PARK DR
STE. C
CLARKSVILLE, TN
ZIP 37040
Phone: (931) 647-5747
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PAIN MD LLC is a prosthetic orthotic supplier in Clarksville, TN. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. PAIN MD LLC NPI is 1114320108. The provider is registered as an organization entity type.

The provider's business location address is:

980 PROFESSIONAL PARK DR
STE. C
CLARKSVILLE, TN
ZIP 37040-251
Phone: (931) 647-5747

The provider's authorized official is Carroll E Combs .
The authorized official title is Corporate Counsel and has the following contact phone number (615) 435-0553.

The enumeration date for this NPI number is 10/3/2014 and was last updated on 10/15/2015.


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
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
2332900000XNon-Pharmacy Dispensing SiteNo
3335E00000XProsthetic/Orthotic SupplierYes

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
17259360005MEDICARE NSCTENNESSEE

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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