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CULLMAN PAIN AND WELLNESS LLC NPI 1629667837


NPI Information

NPI: 1629667837
Provider Name: CULLMAN PAIN AND WELLNESS LLC
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 01D2210644

Address:
1701 MAIN AVE SW STE E
CULLMAN, AL
ZIP 35055
Phone: (256) 737-4100
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CULLMAN PAIN AND WELLNESS LLC is a pain medicine anesthesiology in Cullman, AL. 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. CULLMAN PAIN AND WELLNESS LLC NPI is 1629667837. The provider is registered as an organization entity type.

The provider's business location address is:

1701 MAIN AVE SW STE E
CULLMAN, AL
ZIP 35055-385
Phone: (256) 737-4100

The provider's authorized official is Ricky Brian Tubbs .
The authorized official title is Owner and has the following contact phone number (205) 608-8199.

The CLIA number assigned to this NPI record is 01D2210644 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/12/2021 and was last updated on 8/1/2022.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
3207LP2900XAnesthesiologyPain 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DO1004OTHERALABAMASTATE LICENSE

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.