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INTERVENTIONAL PAIN SPECIALISTS LLC NPI 1497993844


NPI Information

NPI: 1497993844
Provider Name: INTERVENTIONAL PAIN SPECIALISTS, LLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 19D2015133

Address:
3983 I 49 S SERVICE RD
OPELOUSAS, LA
ZIP 70570
Phone: (337) 407-4512
Get Directions

INTERVENTIONAL PAIN SPECIALISTS, LLC is an interventional pain medicine pain medicine in Opelousas, LA. 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. INTERVENTIONAL PAIN SPECIALISTS, LLC NPI is 1497993844. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3983 I 49 S SERVICE RD
OPELOUSAS, LA
ZIP 70570-758
Phone: (337) 407-4512
Fax: (337) 407-4514

The provider's authorized official is Albert J Gros .
The authorized official title is Physician Owner/manager and has the following contact phone number (337) 407-4512.

The CLIA number assigned to this NPI record is 19D2015133 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/22/2009 and was last updated on 7/10/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207LP2900XAnesthesiologyPain MedicineLOUISIANANo
2208VP0014XPain MedicineInterventional Pain MedicineLOUISIANAYes

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
11574881MEDICAIDLOUISIANA

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: 5/5/2024

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