Active NPI
Precision Pain Treatment Clinic LLC
- Pain Medicine Physician
- Smithfield, RI
National Provider Identifier
1033523063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- PRECISION PAIN TREATMENT CLINIC LLC
- Practice address
- 14 Cedar Swamp Rd
Smithfield, RI 02917-2448 - Phone
- (401) 231-0060
- Fax
- (401) 231-0064
- NPI assigned
- Jun 18, 2014
- Last updated
- Sep 3, 2014
- 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
- Keith Perry, MD
- Title
- MD
- Phone
- (401) 231-0060
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 Physician | 208VP0000X | Primary |
Addresses
Primary practice location
14 Cedar Swamp Rd
Smithfield, RI 02917-2448
Mailing address
14 Cedar Swamp Rd
Smithfield, RI 02917-2448
Phone (401) 231-0060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548214141 | Other | RI | INDIVIDUAL NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
14 Cedar Swamp Rd
Smithfield, RI 02917
Phone (401) 228-7585
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1409702400000",
"number": "1033523063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 CEDAR SWAMP RD",
"city": "SMITHFIELD",
"state": "RI",
"postal_code": "029172448",
"telephone_number": "401-231-0060",
"fax_number": "401-231-0064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 CEDAR SWAMP RD",
"city": "SMITHFIELD",
"state": "RI",
"postal_code": "029172448",
"telephone_number": "401-231-0060",
"fax_number": "401-231-0064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRECISION PAIN TREATMENT CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-18",
"last_updated": "2014-09-03",
"status": "A",
"authorized_official_last_name": "PERRY",
"authorized_official_first_name": "KEITH",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "401-231-0060",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1548214141",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Smithfield, RI
- Leah Phillips, OTR/L
- Fabriziio Pluchino, M.D. CFA/SA
- Christina Popov, DMD
- PPC, Inc.
- Precision Pain Treatment Clinic
- Premise Health of Ohio Medical PA (Fidelity Health & Wellness Center)
- David Thomas Pugliese, O.D.
- Anthony Robert Raneri, DMD
- Rhode Island CVS Pharmacy LLC (CVS Pharmacy #16743)
- Ri Med Transportation LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.