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INTERVENTIONAL CENTER FOR PAIN NPI 1508067208


NPI Information

NPI: 1508067208
Provider Name: INTERVENTIONAL CENTER FOR PAIN

Doing Business As: CENTER FOR INTERVENTIONAL PAIN MANAGEMENT

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
5203 CHIPPEWA ST
SUITE 301
SAINT LOUIS, MO
ZIP 63109
Phone: (314) 481-5000
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INTERVENTIONAL CENTER FOR PAIN is a specialist in Saint Louis, MO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. INTERVENTIONAL CENTER FOR PAIN NPI is 1508067208. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Center For Interventional Pain Management.

The provider's business location address is:

5203 CHIPPEWA ST
SUITE 301
SAINT LOUIS, MO
ZIP 63109-356
Phone: (314) 481-5000
Fax: (314) 481-3037

The provider's authorized official is Gurpreet Singh Padda .
The authorized official title is Anesthesiology and has the following contact phone number (314) 481-5000.

The enumeration date for this NPI number is 5/30/2007 and was last updated on 1/19/2010.


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
1174400000XSpecialistYes

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
1001013516MEDICARE PINMISSOURI
2118505OTHERMISSOURIGHP
3149848OTHERMISSOURIBLUE CROSS BLE SHILED
44647144OTHERMISSOURIAETNA
5175746OTHERMISSOURIHEALTH LINK
67200000096OTHERMISSOURIMEDICARE RAILROAD
7CJ6421OTHERMISSOURIMEDICARE RAILROAD
82001272OTHERMISSOURIUHC
9001013516MEDICARE PINILLINOIS

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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