Active NPI
Interventional Pain Care LLC
- Pain Clinic/Center
- Troy, MO
National Provider Identifier
1093957789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- Legal business name
- INTERVENTIONAL PAIN CARE LLC
- Practice address
- 60 Business Park Dr
Ste a
Troy, MO 63379-2827 - Phone
- (636) 728-9460
- NPI assigned
- Mar 27, 2009
- Last updated
- Nov 5, 2018
- 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
- Mrs. Savitha Kunhiraman
- Title
- Office Manager
- Phone
- (636) 333-9723
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | NU | Primary | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 2004011002 | MO |
Addresses
Primary practice location
60 Business Park Dr
Ste a
Troy, MO 63379-2827
Mailing address
60 Business Park Dr Ste a
Troy, MO 63379-2828
Phone (636) 728-9460
National Provider Directory
National Provider DirectoryLocations
301 Winding Woods Ctr
O Fallon, MO 63366
Phone (636) 728-9460
60 Business Park Dr
Ste A
Troy, MO 63379
Phone (636) 728-9460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1541376000000",
"number": "1093957789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 BUSINESS PARK DR STE A",
"city": "TROY",
"state": "MO",
"postal_code": "633792828",
"telephone_number": "636-728-9460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 BUSINESS PARK DR",
"address_2": "STE A",
"city": "TROY",
"state": "MO",
"postal_code": "633792827",
"telephone_number": "636-728-9460"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERVENTIONAL PAIN CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-27",
"last_updated": "2018-11-05",
"status": "A",
"authorized_official_last_name": "KUNHIRAMAN",
"authorized_official_first_name": "SAVITHA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "636-333-9723",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MO",
"license": "2004011002",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.