Columbia Interventional Pain Center LLP

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

COLUMBIA INTERVENTIONAL PAIN CENTER LLP

Practice address

305 N Keene St
Suite #105
Columbia, MO 65201-6897

Phone

(573) 442-2299

Fax

(573) 442-3196

NPI assigned

Aug 17, 2006

Last updated

Sep 24, 2014By 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

Ms. Julia A Meston

Title

Administrator

Phone

(573) 442-2299

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Jeffrey Michael Tiede, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • NPI 1194714774
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1093828584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7237",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652057237",
            "telephone_number": "573-468-6501",
            "fax_number": "573-468-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N KEENE ST",
            "address_2": "SUITE #105",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016897",
            "telephone_number": "573-442-2299",
            "fax_number": "573-442-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA INTERVENTIONAL PAIN CENTER LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "MESTON",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-442-2299",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507608008",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Columbia Gastroenterology & Liver Associates, LLC
• Columbia Health & Wellness Center, LLC (CoMo Wellness Center)
• Columbia Hearing Center
• Columbia Hearing Center
• Columbia Implants and Periodontics L.L.C.
• Columbia Manor Health & Rehabilitation LLC
• Columbia Manor, Inc. (Columbia Manor Care Center)
• Columbia Medical Supplies
• Columbia Musculoskeletal Surgery CNTR LLC
• Columbia Nephrology & Internal Medicine, PC

• Interventional Pain Medicine Physician in Columbia, MO
• Providers in Columbia, MO by specialty
• Interventional Pain Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.