Pain Management Centers of St. Louis, Inc.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

2007001540 Issued in MO

Legal business name

PAIN MANAGEMENT CENTERS OF ST. LOUIS, INC.

Practice address

8045 Big Bend Blvd
Suite 201
Webster Groves, MO 63119-2714

Phone

(314) 374-3408

NPI assigned

Feb 22, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell Liberman, DC

Title

Ceo

Phone

(314) 374-3408

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1013280973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8045 BIG BEND BLVD",
            "address_2": "SUITE 201",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631192714",
            "telephone_number": "314-374-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8045 BIG BEND BLVD",
            "address_2": "SUITE 201",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631192714",
            "telephone_number": "314-374-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT CENTERS OF ST. LOUIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "LIBERMAN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-374-3408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MO",
            "license": "2007001540",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "MO",
            "license": "112767",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomasine Marie Nolan, LPC, NCC
• Geoffrey Donald Norton, D.C.
• Jill Holley Oberle, PLPC
• Orthotic and Prosthetic Lab, Inc.
• Steven J. Ortiz, PHARM D. RPH.
• Claire Francin Parrent, MS, CCC-SLP
• Pathways to Peace, LLC
• Warren Russell Payne Jr., PHD LICENSED PROFESS
• David Pentz, M.A.
• Tammy Galensky Pentz, M.S., B.C.B.A., LBA

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Webster Groves, MO
• Providers in Webster Groves, MO by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.