Organization Active NPI

Partners in Pain Management, Mso, LLC

  • Pain Clinic/Center
  • Suffolk, VA
National Provider Identifier
1003123746
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
0102050102 Issued in VA
Legal business name
PARTNERS IN PAIN MANAGEMENT, MSO, LLC
Practice address
1033 Champions Way Ste 100
Suffolk, VA 23435-3761
Phone
(757) 646-3798
NPI assigned
Sep 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Authorized official

Name
Ms. Ulla B Pedersen
Title
Managing Partner
Phone
(757) 646-3798

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X 0102050102 VA Primary

Addresses

Primary practice location

1033 Champions Way Ste 100
Suffolk, VA 23435-3761

Mailing address

1080 Estates CT
Portsmouth, VA 23703-5465
Phone (757) 646-3798

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1003123746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 ESTATES CT",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237035465",
            "telephone_number": "757-646-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 CHAMPIONS WAY STE 100",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353761",
            "telephone_number": "757-646-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN PAIN MANAGEMENT, MSO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "PEDERSEN",
        "authorized_official_first_name": "ULLA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "757-646-3798",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "VA",
            "license": "0102050102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.