PREMIER PAIN CARE, P.C. (NPI# 1336408186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336408186 |
Entity Type | Organization |
Organization Name | PREMIER PAIN CARE, P.C. |
Practice Address |
514f E Woodrow Wilson Ave Jackson MS 39216-4538 |
Practice Telephone | 6019823132 |
Practice Fax Number | 6019823136 |
Mailing Telephone | 6019823132 |
Mailing Fax Number | 6019823136 |
Enumeration Date | 2012-05-15 |
Last Update Date | 2012-05-15 |
Authorized Official Name | DR. LORI MARSHALL (PRESIDENT) |
Authorized Official Telephone | 6019823132 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
Street Address |
514F E WOODROW WILSON AVE |
City | JACKSON |
State | MS |
Zip Code | 39216-4538 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609974757 | Wilhelmina Fouche O'reilly | Dentist | 514f E Woodrow Wilson Ave, Jackson, MS 39216-4538 | 2006-09-20 |
1144428749 | Lori Hill Marshall | Anesthesiology | 514f E Woodrow Wilson Ave, Jackson, MS 39216-4538 | 2007-07-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
Find all providers in zip 39216 |
Taxonomy Code | 261QP3300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Pain |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023346194 | St. John Neumanns Intergrated Pain Management | Clinic/Center | 1389 Highway 15 N., Jackson, KY 41339 | 2009-11-30 |
1265527899 | Methodist Pain Management, LLC | Clinic/Center | One Layfair Dr, Suite 400, Jackson, MS 39232 | 2006-10-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104300854 | Willow Pain and Wellness, LLC | Clinic/Center | 255 Medical Center Dr., Batesville, MS 38606 | 2018-09-19 |
1679096192 | Neuromodulation Specialists LLC | Clinic/Center | 4105 Hospital St # 112c, Pascagoula, MS 39581-5312 | 2017-07-18 |
1710929310 | Trinity Pain Clinic, P.a. | Clinic/Center | 1307 Airport Rd N, Suite 2a, Flowood, MS 39232-8897 | 2006-06-11 |
1790385417 | Panola Physician Group, LLC | Clinic/Center | 2089 Southridge Dr, Tupelo, MS 38801-6478 | 2020-10-30 |
1093188096 | Willow Pain and Wellness, LLC | Clinic/Center | 2215 Jefferson Davis Dr, Oxford, MS 38655-5221 | 2015-11-12 |
1639583941 | Comprehensive Pain Specialists | Clinic/Center | 120 Stone Creek Blvd, Flowood, MS 39232-8205 | 2014-06-13 |
1770743031 | Newsouth Neurospine, LLC | Clinic/Center | 2470 Flowood Dr, Flowood, MS 39232-9019 | 2008-06-11 |
1174689533 | Pain Treatment Center | Clinic/Center | 106 Asbury Cir, Hattiesburg, MS 39402-1302 | 2006-12-29 |
1508922865 | Institute for Spinal Pain Treatment | Clinic/Center | 1 Lincoln Parkway, Suite 106, Hattiesburg, MS 39402 | 2006-12-29 |
1902965866 | Och Center for Pain Management | Clinic/Center | 107 Doctors Park, Starkville, MS 39759-2174 | 2006-12-07 |
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.