PAIN MANAGMENT MEDICAL GROUP INC (NPI# 1124410477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124410477 |
| Entity Type | Organization |
| Organization Name | PAIN MANAGMENT MEDICAL GROUP INC |
| Practice Address |
4301 Main St # 205 Kansas City MO 64111-7701 |
| Practice Telephone | 8163197601 |
| Practice Fax Number | 8163197602 |
| Mailing Telephone | 8163197601 |
| Mailing Fax Number | 8163197602 |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-02-24 |
| Authorized Official Name | VIVIANA PINEDA (PRESIDENT) |
| Authorized Official Telephone | 8163197601 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
MO | Ambulatory Health Care Facilities |
| Street Address |
4301 MAIN ST # 205 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111-7701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1073762159 | Concentra Health Services, Inc. | Clinic/Center | 6401 Front Street, Kansas City, MO 64120 | 2008-09-15 |
| 1982772844 | Saint Lukes Im Hospitalists | Clinic/Center | Saint Lukes Hospital 4401 Wornall Road, Kansas City, MO 64111 | 2006-11-30 |
| 1154896454 | Shakir M Farah | Clinic/Center | 3611 Main St, Kansas City, MO 64111-1908 | 2018-10-12 |
| 1023414158 | Occupational Health Centers of Kansas Pa | Clinic/Center | 200 Southwest Blvd, Kansas City, MO 64108-2019 | 2014-11-18 |
| 1861898553 | Occupational Health Centers of Kansas Pa | Clinic/Center | 6401 E Front St, Kansas City, MO 64120-1356 | 2014-11-07 |
| 1225434921 | Us Medgroup of Kansas Pa | Clinic/Center | 6401 E Front St, Kansas City, MO 64120-1356 | 2014-11-07 |
| 1407252109 | Us Medgroup of Kansas Pa | Clinic/Center | 200 Southwest Blvd, Kansas City, MO 64108-2019 | 2014-11-07 |
| 1477959195 | Occupational Health Centers of Kansas Pa | Clinic/Center | 4214 Kansas Ave, Kansas City, KS 66106-1119 | 2014-11-06 |
| 1417353137 | Us Medgroup of Kansas Pa | Clinic/Center | 4214 Kansas Ave, Kansas City, KS 66106-1119 | 2014-11-06 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64111 |
Please comment or provide details below to improve the information on PAIN MANAGMENT MEDICAL GROUP INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.