NPIMap

Organization Active NPI

Cahaba Pain and Spine Care, LLC

  • Anesthesiology Physician
  • Hoover, AL
National Provider Identifier
1073960431
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
27941 Issued in AL
Legal business name
CAHABA PAIN AND SPINE CARE, LLC
Practice address
2010 Patton Chapel Rd
Suite 200
Hoover, AL 35216-5782
Phone
(205) 208-9001
Fax
(205) 208-9001
NPI assigned
May 16, 2016
Last updated
Jan 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Authorized official

Name
Richard Brian Thoma, MDNPI 1437371994
Title
Physician
Phone
(205) 208-9001

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 Physician 207L00000X 27941 AL Primary

Addresses

Primary practice location

2010 Patton Chapel Rd
Suite 200
Hoover, AL 35216-5782

Mailing address

2010 Patton Chapel Rd Ste 200
Hoover, AL 35216-5784
Phone (205) 208-9001

Other identifiers 1

IdentifierTypeStateIssuer
191618MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160815001976 AL Part B Supplier - Clinic/Group Practice 9234423138 Receives reassigned benefits from 17 practitioners
Practice locations: Hoover, AL
O20161020001505 AL DME Supplier - Physician - Interventional Pain Management 9234423138 Practice locations: Hoover, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2115349Cahaba Pain and Spine Care2010 Patton Chapel Road Suite 200, Hoover, AL 35216ComplianceAug 23, 2027

National Provider Directory

National Provider Directory

Locations

2010 Patton Chapel Rd
Ste 200
Hoover, AL 35216
Phone (205) 208-9001

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1073960431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 PATTON CHAPEL RD STE 200",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352165784",
            "telephone_number": "205-208-9001",
            "fax_number": "205-208-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 PATTON CHAPEL RD",
            "address_2": "SUITE 200",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352165782",
            "telephone_number": "205-208-9001",
            "fax_number": "205-208-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAHABA PAIN AND SPINE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "THOMA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "205-208-9001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "27941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191618",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.