ST LOUIS PAIN MANAGEMENT CENTER INC NPI 1134215247

NPI Information

  • NPI: 1134215247
  • Provider Name: ST LOUIS PAIN MANAGEMENT CENTER INC
  • Classification: Anesthesiology - 207LP2900X
  • Specialization: Pain Medicine
  • Entity Type: Organization
  • Address: 11605 STUDT AVE
    SUITE 120
    SAINT LOUIS, MO
    ZIP 63141
  • Phone: (314) 432-2580

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NPI Details

ST LOUIS PAIN MANAGEMENT CENTER INC is a pain medicine anesthesiology in Saint Louis, MO. 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. ST LOUIS PAIN MANAGEMENT CENTER INC NPI is 1134215247. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11605 STUDT AVE
SUITE 120
SAINT LOUIS, MO
ZIP 63141-052
Phone: (314) 432-2580
Fax: (314) 569-3162

The provider's authorized official is Kim Debold .
The authorized official title is Acct Manager and has the following contact phone number (314) 432-2580.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 11/18/2013.

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
1207LP2900XAnesthesiologyPain 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000014227MEDICARE ID-TYPE UNSPECIFIEDMISSOURI

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: 11/21/2025

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