Southern Pain Center, LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

SOUTHERN PAIN CENTER, LLC

Practice address

235 Saint Ann Dr
Ste 2
Mandeville, LA 70471-3396

Phone

(985) 727-7275

Fax

(985) 727-7915

NPI assigned

May 9, 2008

Last updated

Sep 30, 2008By 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

Dr. Mark S Dennis, MDNPI 1801866215

Title

Owner

Phone

(985) 727-7275

Specialties & licenses 2

Addresses

Locations

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.

• Mark Stephen Dennis, M.D.

  • Interventional Pain Medicine Physician
  • Mandeville, LA
  • NPI 1801866215
  Authorized official Same address or phone

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1093982068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 SAINT ANN DR",
            "address_2": "STE 2",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713396",
            "telephone_number": "985-727-7275",
            "fax_number": "985-727-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 SAINT ANN DR",
            "address_2": "STE 2",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713396",
            "telephone_number": "985-727-7275",
            "fax_number": "985-727-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN PAIN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-727-7275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Soteropulos
• Steve Soteropulos, RPH
• South Louisiana ENT, Facial Plastic & Hair Restoration, Apmc
• Southeast Louisiana State Hospital
• Southern Family Chiropractic, LLC
• Speech Language & Learning Center Inc (Jefferson Speech & Language Center of St Tammany)
• Mary Speed, PH.D.
• Tiffany Roper Spicuzza, PNP-AC
• Shellie Marie Spitzley, RMA
• Kathy Price Splain, LPN

• Interventional Pain Medicine Physician in Mandeville, LA
• Providers in Mandeville, 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 Sep 30, 2008; 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.