NPIMap

Organization Active NPI

Heag Pain Management Center, PA

  • Anesthesiology Physician
  • Greensboro, NC
National Provider Identifier
1073647590
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
200500050 Issued in NC
Legal business name
HEAG PAIN MANAGEMENT CENTER, PA
Practice address
2800 Battleground Ave
Greensboro, NC 27408-2704
Phone
(336) 282-0132
Fax
(336) 282-6962
NPI assigned
Mar 15, 2007
Organization subpart
No

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
Kwadwo Gyarteng-DakwaNPI 1285679845
Title
Manager
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 200500050 NC Primary

Addresses

Primary practice location

2800 Battleground Ave
Greensboro, NC 27408-2704

Mailing address

2800 Battleground Ave
Greensboro, NC 27408-2704
Phone (336) 282-0132

National Provider Directory

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

Other organizations with this tax ID 4

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

Locations

2800 Battleground Ave
Greensboro, NC 27408
Phone (336) 282-0132

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1073647590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 BATTLEGROUND AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274082704",
            "telephone_number": "336-282-0132",
            "fax_number": "336-282-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 BATTLEGROUND AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274082704",
            "telephone_number": "336-282-0132",
            "fax_number": "336-282-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAG PAIN MANAGEMENT CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "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": "MANAGER",
        "authorized_official_telephone_number": "919-220-0107"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "200500050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, 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.