Organization Active NPI

Interventional Pain Care LLC

  • Pain Clinic/Center
  • Troy, MO
National Provider Identifier
1093957789
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.