OPTIMA PAIN MANAGEMENT LLC (NPI# 1629699038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629699038 |
| Entity Type | Organization |
| Organization Name | OPTIMA PAIN MANAGEMENT LLC |
| Other Organization Name | OPTIMA PAIN CLINIC |
| Practice Address |
6650 W 110th St Ste 210 Overland Park KS 66211-1501 |
| Practice Telephone | 9135580058 |
| Practice Fax Number | 9138716412 |
| Mailing Telephone | 9135580058 |
| Mailing Fax Number | 9138716412 |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2020-09-28 |
| Authorized Official Name | JAMES SIGLER (OWNER) |
| Authorized Official Telephone | 9135580058 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Optima Pain Clinic | Doing Business As Name - Organization |
| Street Address |
6650 W 110TH ST STE 210 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66211-1501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043357304 | James Sigler | Physical Medicine & Rehabilitation | 6650 W 110th St Ste 210, Overland Park, KS 66211-1501 | 2007-01-30 |
| 1922494038 | Nissa Fisher | Registered Nurse | 6650 W 110th St Ste 210, Overland Park, KS 66211-1501 | 2015-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336611821 | Baillie Rose Woydziak | Social Worker | 5805 W 110th Street, Overland Park, KS 66211 | 2018-12-20 |
| 1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
| 1235615931 | Janice Carollo | Physical Therapy Assistant | 11611 Granada Lane, Leawood, KS 66211 | 2018-07-16 |
| 1720572555 | Trevor Lee Elmer | Physical Therapist | 10777 Nall, 320 - Corporate Medical Plaza Building II, Overland Park, KS 66211 | 2018-06-15 |
| 1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
| 1619313665 | Vcphcs Xiv, LLC | Clinic/Center | 6331 W. 110th Street, Overland Park, KS 66211 | 2013-05-17 |
| 1528334950 | Scott Anthony Hardouin | Surgery | 5100 W 110th St Unit 300, Overland Park, KS 66211 | 2012-03-29 |
| 1386917003 | Children's Physical Therapy Associates | Physical Therapist | 6600 College Boulevard, Suite 307, Overland Park, KS 66211 | 2012-02-10 |
| 1871876250 | Amber Diane Dalzell | Social Worker | 10965 Granada Ln Ste 102, Overland Park, KS 66211 | 2011-09-22 |
| 1912298001 | Stephen Vincent Hiatt | Orthopaedic Surgery | 10701 Nall Avenue, Suite 200, Overland Park, KS 66211 | 2011-04-25 |
| Find all providers in zip 66211 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790208304 | Body Guitar, LLC | Physical Medicine & Rehabilitation | 11040 Oakmont St, Overland Park, KS 66210-1100 | 2017-07-25 |
| 1356667778 | Advantage Spine and Pain Care, Inc. | Physical Medicine & Rehabilitation | 14720 Metcalf Ave, Suite 160, Overland Park, KS 66223 | 2010-04-09 |
| 1366569287 | Metro Spine & Rehab, P.a. | Physical Medicine & Rehabilitation | 10777 Nall Ave, Suite 120, Overland Park, KS 66211-1231 | 2007-03-24 |
| 1366498867 | Zhengyu Hu | Physical Medicine & Rehabilitation | 10600 Quivira Rd, Suite 470, Overland Park, KS 66215-2309 | 2006-05-26 |
| 1184682429 | Joseph F Galate | Physical Medicine & Rehabilitation | 10777 Nall Ave, Suite 120, Overland Park, KS 66211-1231 | 2006-05-03 |
| 1376530683 | Sean M Wheeler | Physical Medicine & Rehabilitation | 11725 W 112th St, Overland Park, KS 66210-2761 | 2005-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457515041 | James N Warren Md PC | Physical Medicine & Rehabilitation | 2900 Sw Atwood Ave Ste C, Topeka, KS 66614-2856 | 2008-07-14 |
| 1437582020 | Hospital District No. 1 of Dickinson County, Kansas | Physical Medicine & Rehabilitation | 511 Ne 10th St, Abilene, KS 67410-2153 | 2013-08-19 |
| 1194060954 | Mobile Wound Care L.L.C. | Physical Medicine & Rehabilitation | 2260 N Ridge Rd, Suite 100, Wichita, KS 67205-1132 | 2012-12-05 |
| 1245506302 | Wichita Rehab and Wellness L.l.c | Physical Medicine & Rehabilitation | 2260 N Ridge Rd, Suite 100, Wichita, KS 67205-1132 | 2012-03-22 |
| 1649326992 | Rajorshi Mitra | Physical Medicine & Rehabilitation | 3901 Rainbow Blvd, 4019 Delp, Mail Stop 4017, Kansas City, KS 66160-8500 | 2007-01-26 |
| City | OVERLAND PARK |
| Zip Code | 66211 |
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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.