Active NPI
Pain Source Solutions LLC
- Pain Medicine (Anesthesiology) Physician
- North Kansas City, MO
National Provider Identifier
1013018076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- PAIN SOURCE SOLUTIONS LLC
- Practice address
- 2800 Clay Edwards Dr
North Kansas City, MO 64116-3220 - Phone
- (816) 221-4114
- Fax
- (816) 471-1247
- NPI assigned
- Sep 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sean Clinefelter, MD
- Title
- Provider Authorized Official
- Phone
- (816) 221-5050
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
2800 Clay Edwards Dr
North Kansas City, MO 64116-3220
Mailing address
PO Box 411099
Kansas City, MO 64141-1099
Phone (816) 221-5050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 509380309 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040601000320 | MO | Part B Supplier - Clinic/Group Practice | 0547241986 |
Receives reassigned benefits from 6 practitioners Practice locations: N Kansas City, MO |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- North Kansas City, MO
- NPI 1447332168
MO, Pain Medicine
-
- Interventional Pain Medicine Physician
- North Kansas City, MO
- NPI 1366524076
MO, Pain Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753315200000",
"number": "1013018076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 411099",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641411099",
"telephone_number": "816-221-5050",
"fax_number": "816-471-1247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 CLAY EDWARDS DR",
"city": "NORTH KANSAS CITY",
"state": "MO",
"postal_code": "641163220",
"telephone_number": "816-221-4114",
"fax_number": "816-471-1247"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN SOURCE SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-25",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A",
"authorized_official_last_name": "CLINEFELTER",
"authorized_official_first_name": "SEAN",
"authorized_official_title_or_position": "PROVIDER AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "816-221-5050",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "509380309",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.