PAIN CONSULTANTS OF ALABAMA, LLC (NPI# 1790269439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790269439 |
| Entity Type | Organization |
| Organization Name | PAIN CONSULTANTS OF ALABAMA, LLC |
| Practice Address |
4105 Hospital Road Ste 112b Pascagoula MS 39581 |
| Mailing Address |
200 Rittenhouse Circle East Building Ste 5 Bristol PA 19007 |
| Practice Telephone | 8885900808 |
| Practice Fax Number | 8667404689 |
| Mailing Telephone | 8885900808 |
| Mailing Fax Number | 8667404689 |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2018-09-19 |
| Authorized Official Name | MACKENZIE HAHN (NCPDP COORINATOR) |
| Authorized Official Telephone | 8885900808 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| Comprehensive Pain and Rehabilitation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558594499 | Pain Consultants of Alabama, LLC | Durable Medical Equipment & Medical Supplies | 4105 Hospital Road, Suite 108, Pascagoula, MS 39581-5312 | 2009-08-26 |
| Street Address |
4105 HOSPITAL ROAD STE 112B |
| City | PASCAGOULA |
| State | MS |
| Zip Code | 39581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558594499 | Pain Consultants of Alabama, LLC | Durable Medical Equipment & Medical Supplies | 4105 Hospital Road, Suite 108, Pascagoula, MS 39581-5312 | 2009-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760945448 | Jacquelyn B Ellison | Nurse Practitioner | 4105 Hospital Road, Ste 103, Pascagoula, MS 39581 | 2019-04-10 |
| 1104346816 | Jennifer Ngoc Bui | Dentist | 4001 Denny Ave Suite 1, Pascagoula, MS 39581 | 2017-06-23 |
| 1528486289 | Thomas Stallworth | Nurse Practitioner | 4105 Hospital St Ste 104, Pascagoula, MS 39581 | 2014-03-31 |
| 1487919957 | Candace Noel Pendowski | Nurse Practitioner | 4211 Hospital St Suite 208, Pascagoula, MS 39581 | 2012-07-10 |
| 1649548892 | Kim M. Tumminello | Nurse Practitioner | 4253 Denny Avenue, Pascagoula, MS 39581 | 2011-12-02 |
| 1649547860 | Abrian Norell Flowers | Physical Therapist | 3537 Denny Avenue, Suite 115, Pascagoula, MS 39581 | 2011-11-17 |
| 1164724118 | Coast To Coast Rehab LLC | Rehabilitation Practitioner | 3537 Denny Ave, Suite 115, Pascagoula, MS 39581 | 2010-11-24 |
| 1740500958 | Joshua Eric Tucker | Physical Medicine & Rehabilitation | 4105 Hospital St Ste 112b, Pascagoula, MS 39581 | 2010-06-10 |
| 1720164916 | Vernon W Doster | Family Medicine | 3616 Hospital Street, Suite D, Pascagoula, MS 39581 | 2006-10-31 |
| 1841387727 | David Bruce Allen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4300 Hospital Rd, Suite 105, Pascagoula, MS 39581 | 2006-10-10 |
| Find all providers in zip 39581 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1285177543 | Gastroenterology Center of The Midsouth PC | Non-Pharmacy Dispensing Site | 7668b Airways Blvd, Southaven, MS 38671-5304 | 2016-11-18 |
| 1114373586 | Gentex Pharma | Non-Pharmacy Dispensing Site | 121 Marketridge Dr, Suite C, Ridgeland, MS 39157-6027 | 2016-05-04 |
| 1952783078 | Mom 2 Be, LLC | Non-Pharmacy Dispensing Site | 449 Wilkins Wise Rd, Columbus, MS 39705-1756 | 2015-06-25 |
| 1982176426 | Brian Shwer, Dpm | Non-Pharmacy Dispensing Site | 564 Goodman Rd E, Southaven, MS 38671-9526 | 2018-12-21 |
| 1316366503 | Bienville Orthopaedic Specialists LLC | Non-Pharmacy Dispensing Site | 1720a Medical Park Dr Ste 220, Biloxi, MS 39532-2127 | 2014-04-15 |
| 1295161404 | Mississippi Orthopaedic Institute | Non-Pharmacy Dispensing Site | 15190 Community Rd Ste 120, Gulfport, MS 39503-3484 | 2013-09-19 |
| 1679826945 | Sotolongo Clinic, Pa | Non-Pharmacy Dispensing Site | 731 S Pear Orchard Rd, Suite 7, Ridgeland, MS 39157-4800 | 2012-10-23 |
| 1578613188 | Urgent Medical Clinic Inc | Non-Pharmacy Dispensing Site | 176 Goodman Rd W, Southaven, MS 38671-9405 | 2007-01-12 |
| Find all providers with the same taxonomy | ||||
| City | PASCAGOULA |
| Zip Code | 39581 |
Please comment or provide details below to improve the information on PAIN CONSULTANTS OF ALABAMA, LLC.
| 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.