INTERVENTIONAL PAIN MANAGEMENT ASSOCIATES PLLC NPI 1902231178

NPI Information

  • NPI: 1902231178
  • Provider Name: INTERVENTIONAL PAIN MANAGEMENT ASSOCIATES PLLC
  • Classification: Anesthesiology - 207LP2900X
  • Specialization: Pain Medicine
  • Entity Type: Organization
  • CLIA Number: 04D2086422
  • Address: 17 MEDICAL PLZ
    MOUNTAIN HOME, AR
    ZIP 72653
  • Phone: (870) 425-6235

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NPI Details

INTERVENTIONAL PAIN MANAGEMENT ASSOCIATES PLLC is a pain medicine anesthesiology in Mountain Home, AR. 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. INTERVENTIONAL PAIN MANAGEMENT ASSOCIATES PLLC NPI is 1902231178. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

17 MEDICAL PLZ
MOUNTAIN HOME, AR
ZIP 72653-918
Phone: (870) 425-6235
Fax: (870) 424-3774

The provider's authorized official is Ronald E. Tilley .
The authorized official title is Registered Agent and has the following contact phone number (870) 425-6235.

The CLIA number assigned to this NPI record is 04D2086422 - other - hospital pain clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/6/2013 and was last updated on 3/3/2014.

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
1363A00000XPhysician AssistantNo
2207LP2900XAnesthesiologyPain MedicineYes

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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