Louisiana Pain Specialists, LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

LOUISIANA PAIN SPECIALISTS, LLC

Practice address

4580 Bluebonnet Blvd Ste B
Baton Rouge, LA 70809-5604

Phone

(504) 754-2334

NPI assigned

Jan 21, 2025

Last updated

Jan 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Corrie Spano

Title

Billing Director

Phone

(504) 635-2601

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Louisiana Pain Specialists LLC

  • Interventional Pain Medicine Physician
  • Marrero, LA
  • NPI 1891507554

  8820124217

  Same PAC ID
• Louisiana Pain Specialists, LLC

  • Interventional Pain Medicine Physician
  • Kenner, LA
  • NPI 1245623354

  8820124217

  Same PAC ID
• Louisiana Pain Specialists, LLC

  • Interventional Pain Medicine Physician
  • New Orleans, LA
  • NPI 1770395444

  8820124217

  Same PAC ID
• Louisiana Pain Specialists, LLC

  • Interventional Pain Medicine Physician
  • Metairie, LA
  • NPI 1801608583

  8820124217

  Same PAC ID
• Louisiana Pain Specialists, LLC

  • Interventional Pain Medicine Physician
  • Metairie, LA
  • NPI 1871823740

  8820124217

  Same PAC ID
• Louisiana Pain Specialists, LLC

  • Interventional Pain Medicine Physician
  • New Orleans, LA
  • NPI 1922810696

  8820124217

  Same PAC ID

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

CLIA laboratory certificates

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1093527764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 HESSMER AVE STE A",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700027046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 BLUEBONNET BLVD STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708095604",
            "telephone_number": "504-754-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA PAIN SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "SPANO",
        "authorized_official_first_name": "CORRIE",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "504-635-2601"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Louisiana Opportunity Zone Fund (Gamby Lab)
• Louisiana Outreach Services
• Louisiana Peer Action Advocacy Coalition
• Louisiana Prosthetics, LLC
• Louisiana Psychiatric Clinic, LLC
• Louisiana Regenerative Medicine Center
• Louisiana Rehab Products Inc

• Interventional Pain Medicine Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Interventional Pain Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.