PHYSICIANS PAIN AND SPINE SPECIALISTS, PLLC


Address: 14986 Angela Dr, Gulfport, MS 39503-3502
Phone: 2283575464

PHYSICIANS PAIN AND SPINE SPECIALISTS, PLLC (NPI# 1639417819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639417819
Entity Type Organization
Organization Name PHYSICIANS PAIN AND SPINE SPECIALISTS, PLLC
Practice Address 14986 Angela Dr
Gulfport
MS 39503-3502
Practice Telephone 2283575464
Practice Fax Number 8775630603
Mailing Telephone 2283575464
Mailing Fax Number 8775630603
Enumeration Date 2013-01-23
Last Update Date 2020-10-28
Authorized Official Name MR. SHAWN X WU (MEDICAL DIRECTOR)
Authorized Official Telephone 2483425207
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
18988 MS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS 00002077 05

Office Location

Street Address 14986 ANGELA DR
City GULFPORT
State MS
Zip Code 39503-3502

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952462905 Shawn X Wu Physical Medicine & Rehabilitation 14986 Angela Dr, Gulfport, MS 39503-3502 2006-12-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013515451 Gulf Coast Neurospa, LLC Psychiatry & Neurology 8845 Lorraine Road, Gulfport, MS 39503 2020-10-16
1447865985 Nicholas Wyrosdick Physical Therapist 12261 Us 49 #1, Gulfport, MS 39503 2020-09-11
1750935169 Ladner Roy Drugs, LLC. Pharmacy 12261 Us 49 Suite 16, Gulfport, MS 39503 2019-07-25
1528559440 Alexander Therapy Services, LLC Clinic/Center 15465 Oak Ln Ste 100c, Gulfport, MS 39503 2018-05-25
1750879003 Heather Lynn Theisen Nurse Practitioner 15190 Community Rd Ste 330, Gulfport, MS 39503 2018-04-23
1083101216 Gulf Coast Mental Health Center Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 15094 County Barn Road, Gulfport, MS 39503 2018-04-13
1306343173 Dr. Raymond Monsour Scurfield, LLC Community/Behavioral Health 15465 Oak Lane Ste 100-g, Gulfport, MS 39503 2018-04-09
1952817157 Mary Beth Welch Behavioral Analyst 9230 Old Lorraine Rd, Gulfport, MS 39503 2017-12-26
1831603257 Beach View Family Dental, Pllc Dentist 9072 Lorraine Road, Gulfport, MS 39503 2017-11-21
1437677721 Mary Stephens Ruffin Social Worker 11262 Creek Dr, Gulfport, MS 39503 2017-09-07
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Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922218627 Robert Fortier Bensen Pain Medicine 445 Security Sq, Gulfport, MS 39507-1922 2007-05-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639317274 Robert A Wiemer Jr. Pain Medicine 528-f Klondike Road, Long Beach, MS 39560 2009-02-03
1811098874 Laurel Pain Clinic Pa Pain Medicine 1706 W 12th St, Laurel, MS 39440-2559 2006-09-25
1922092881 Eric Pearson Pain Medicine 1001 14th St, Meridian, MS 39301-4458 2005-09-07
1497752760 Fani B Manney Pain Medicine #4 Doctors Dr, Suite C, Ocean Springs, MS 39564 2005-07-01
1417953050 Steven Thomas Richey Pain Medicine 122 Airways Pl, Southaven, MS 38671-5872 2005-06-27
1316558893 Mississippi Pain Management, Pllc Pain Medicine 1080 River Oaks Dr Ste B103, Flowood, MS 39232-7602 2020-08-10
1083193031 Bacas Interventional Pain Management, LLC Pain Medicine 1430 Highway 4 E, Holly Springs, MS 38635-2140 2018-08-10
1356848014 Flowood Pain Center, LLC Pain Medicine 120 Stone Creek Blvd Ste 500, Flowood, MS 39232-8210 2018-04-10
1134596760 Pain Partners, LLC Pain Medicine 1001 14th St, Meridian, MS 39301-4458 2015-08-31
1124452859 St Dominic Medical Associates LLC Pain Medicine 970 Lakeland Dr, Suite 45, Jackson, MS 39216-4635 2013-08-29
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Competitor

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City GULFPORT
Zip Code 39503

Improve Information

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Dataset Information

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.

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