NPIMap

Organization Active NPI

Heag Pain Management Center PA

  • Interventional Pain Medicine Physician
  • Durham, NC
National Provider Identifier
1003094442
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
200500050 Issued in NC
Legal business name
HEAG PAIN MANAGEMENT CENTER PA
Practice address
2609 N Duke St Ste 303B
Durham, NC 27704
Phone
(919) 220-0107
NPI assigned
Feb 7, 2008
Organization subpart
Yes
Parent organization
THE HEAG PAIN MANAGEMENT CENTER PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Authorized official

Name
Dr. Kwadwo Gyarteng Dakwa, MDNPI 1285679845
Title
Physican
Phone
(919) 220-0107

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X 200500050 NC
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X 200500050 NC
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X 200500050 NC Primary
Pain Clinic/Center 261QP3300X

Addresses

Primary practice location

2609 N Duke St Ste 303B
Durham, NC 27704

Mailing address

2609 N Dyke St
Suite 402
Durham, NC 27704
Phone (919) 220-0107

Other identifiers 2

IdentifierTypeStateIssuer
5700429MedicaidNC
1285678845OtherNPI

National Provider Directory

National Provider Directory
Tax ID family
Heag Pain Management Center5 organizations share this tax ID, including this one
Part of
Heag Pain Management Center

Other organizations with this tax ID 4

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

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": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1003094442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 N DYKE ST",
            "address_2": "SUITE 402",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27704",
            "telephone_number": "919-220-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 N DUKE ST STE 303B",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27704",
            "telephone_number": "919-220-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAG PAIN MANAGEMENT CENTER PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE HEAG PAIN MANAGEMENT CENTER PA",
        "enumeration_date": "2008-02-07",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "GYARTENG DAKWA",
        "authorized_official_first_name": "KWADWO",
        "authorized_official_title_or_position": "PHYSICAN",
        "authorized_official_telephone_number": "919-220-0107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "200500050",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NC",
            "license": "200500050",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NC",
            "license": "200500050",
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5700429",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1285678845",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.