NPIMap

Organization Active NPI

Pain Management PC

  • Certified Registered Nurse Anesthetist
  • Omaha, NE
National Provider Identifier
1003026253
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
100507 Issued in NE
Legal business name
PAIN MANAGEMENT PC
Practice address
8031 W Center Rd
Suite 226
Omaha, NE 68124-3134
Phone
(402) 391-8978
Fax
(402) 391-8979
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Michael Kent Perry, C.R.N.A.NPI 1255428439
Title
President
Phone
(402) 492-8544

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 100507 NE Primary

Addresses

Primary practice location

8031 W Center Rd
Suite 226
Omaha, NE 68124-3134

Mailing address

13811 Charles St
Omaha, NE 68154-3883
Phone (402) 492-8544

Other names 1

  • Fremont Regional Anesthesia Specialty Services P.C. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070706000430 IA Part B Supplier - Clinic/Group Practice 0941300867 Receives reassigned benefits from 1 practitioner
Practice locations: Council Bluffs, IA; Red Oak, IA
O20070824000684 NE Part B Supplier - Clinic/Group Practice 0941300867 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Island, NE; Omaha, NE; Aurora, NE

National Provider Directory

National Provider Directory
Tax ID family
Pain Management PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1840 Madison Ave
Ste 4
Council Bluffs, IA 51503
Phone (712) 256-0515

338 N Main St
Fremont, NE 68025
Phone (402) 727-5586

8031 W Center Rd
Ste 226
Omaha, NE 68124
Phone (402) 305-9986

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1003026253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13811 CHARLES ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543883",
            "telephone_number": "402-492-8544",
            "fax_number": "402-391-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8031 W CENTER RD",
            "address_2": "SUITE 226",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243134",
            "telephone_number": "402-391-8978",
            "fax_number": "402-391-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-492-8544",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.R.N.A."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "100507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fremont Regional Anesthesia Specialty Services P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.