SOUTHEASTERN PAIN MANAGEMENT CENTER, PLLC (NPI# 1326053760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326053760 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN PAIN MANAGEMENT CENTER, PLLC |
| Other Organization Name | SOUTHEASTERN PAIN MANAGEMENT CENTER |
| Practice Address |
3183 W State St Suite 1101 Bristol TN 37620-1712 |
| Mailing Address |
350 Blountville Hwy Ste 207 Bristol TN 37620-0213 |
| Practice Telephone | 4239682772 |
| Practice Fax Number | 4239681377 |
| Mailing Telephone | 4239684540 |
| Mailing Fax Number | 4239685697 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DENNIS M AGUIRRE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4239684540 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SOUTHEASTERN PAIN MANAGEMENT CENTER | Other Name - Individual/Organization |
| Street Address |
3183 W STATE ST SUITE 1101 |
| City | BRISTOL |
| State | TN |
| Zip Code | 37620-1712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528051208 | Douglas Paul Williams | Psychiatry & Neurology | 3183 W State St, Suite 1201, Bristol, TN 37620-1712 | 2005-08-26 |
| 1538428230 | Michelle L Painter | Nurse Practitioner | 3183 W State St, Suite 1101, Bristol, TN 37620-1712 | 2012-05-15 |
| 1184889115 | Brenda K Friend | Nurse Practitioner | 3183 W State St, Suite 1101, Bristol, TN 37620-1712 | 2008-07-18 |
| 1063623692 | Claudia F Corradino | Nurse Practitioner | 3183 W State St, Suite 1201, Bristol, TN 37620-1712 | 2007-05-25 |
| 1114042629 | Mountain Empire Neurological Associates PC | Specialist | 3183 W State St, Suite 1201, Bristol, TN 37620-1712 | 2007-03-21 |
| 1730205089 | Teresa Ann Martin | Nurse Practitioner | 3183 W State St, Suite 1201, Bristol, TN 37620-1712 | 2007-03-21 |
| 1962533661 | William J. Schermer Pllc | Dermatology | 3183 W State St, Suite 1102, Bristol, TN 37620-1712 | 2007-03-07 |
| 1922158500 | Cory V Trickett | Dermatology | 3183 W State St, Bristol, TN 37620-1712 | 2007-01-12 |
| 1376588996 | Dennis M Aguirre | Pain Medicine | 3183 W State St, Suite1101, Bristol, TN 37620-1712 | 2006-06-18 |
| 1467430231 | William John Schermer | Dermatology | 3183 W State St, Suite 1102, Bristol, TN 37620-1712 | 2006-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180216 | Firstep, LLC | Psychiatry & Neurology | 3183 W. State St., Suite 1201, Bristol, TN 37620 | 2019-12-10 |
| 1578047726 | Amanda Harville Mcgrady | Psychologist | 105 Walnut Circle, Bristol, TN 37620 | 2018-09-23 |
| 1467932533 | Teresa Mooney | Nurse Practitioner | 324 Leslie Ct, Bristol, TN 37620 | 2018-08-17 |
| 1992285308 | Jeremy Aurbrey Blanzy | Nurse Practitioner | 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 | 2018-08-15 |
| 1255841805 | Amanda L Pillion | Audiologist | 225 Midway Medical Park, Bristol, VA 37620 | 2017-10-10 |
| 1841717717 | Joel Blevins | Driver | 301 Webb Ct, Bristol, TN 37620 | 2017-08-23 |
| 1831579796 | Dr. Marie Crawford, Ph.d., Pllc | Psychologist | 739 Bluff City Highway, Suite 5, Bristol, TN 37620 | 2015-06-05 |
| 1508297169 | Cassandra Marie Conry | Chiropractor | 800 Hill St., Bristol, TN 37620 | 2013-12-09 |
| 1780025874 | Laura Leann Lawson-renfro | Nurse Practitioner | 260 Midway St, Bristol, TN 37620 | 2013-07-17 |
| 1760822365 | Ricky Bhimani | Internal Medicine | 208 Medical Park Boulevard, Bristol, TN 37620 | 2013-06-27 |
| Find all providers in zip 37620 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508400235 | Paul E. Pinson | Anesthesiology | 3917 Georgetown Road, Nw, Cleveland, TN 37312 | 2019-11-06 |
| 1114492626 | George A Mears IIi | Anesthesiology | 1934 Alcoa Hwy Ste D170, Knoxville, TN 37920-1525 | 2018-10-11 |
| 1316449903 | Ken Homolya Md LLC | Anesthesiology | 4230 Harding Pike Ste 807, Nashville, TN 37205-4900 | 2018-02-28 |
| 1629581574 | Appa LLC | Anesthesiology | 431 Park Village Rd Ste 103, Knoxville, TN 37923-3806 | 2017-11-14 |
| 1992234157 | Wellness First Pain Management | Anesthesiology | 5600 Brainerd Rd Ste B14, Chattanooga, TN 37411-5396 | 2017-06-09 |
| 1467849943 | Neeraj Sriram | Anesthesiology | 8115 Isabella Ln Ste 8, Brentwood, TN 37027-9110 | 2015-04-22 |
| 1306237938 | Lifelinc Pain Management Pllc | Anesthesiology | 308 Northcrest Dr, Springfield, TN 37172-3963 | 2015-02-18 |
| 1598195539 | Medmd Interventional Care PC | Anesthesiology | 314 Cool Springs Blvd Ste 100, Franklin, TN 37067-6420 | 2013-11-12 |
| 1144563032 | Pain Management Group, P.C. (the) | Anesthesiology | 320 New Shackle Island Rd, Hendersonville, TN 37075 | 2013-03-29 |
| 1033493184 | Middle Tennessee Pain Management | Anesthesiology | 604 N Chancery St, Mcminnville, TN 37110-2054 | 2011-10-07 |
| Find all providers with the same taxonomy | ||||
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| 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.