Organization Active NPI

US Care Pain Clinic LLC

  • Pain Medicine (Anesthesiology) Physician
  • Providence, RI
National Provider Identifier
1104967157
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
MD10308 Issued in RI
Legal business name
US CARE PAIN CLINIC LLC
Practice address
955 Chalkstone Ave
2ND Floor
Providence, RI 02908-4220
Phone
(401) 228-7585
NPI assigned
Feb 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Authorized official

Name
Hafeez Urrahman Khan, MD
Title
President
Phone
(401) 228-7585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X MD10308 RI Primary

Addresses

Primary practice location

955 Chalkstone Ave
2ND Floor
Providence, RI 02908-4220

Mailing address

12 Kirkbrae Dr
Lincoln, RI 02865-1008
Phone (401) 228-7585

National Provider Directory

National Provider Directory

Locations

955 Chalkstone Ave
#2
North Providence, RI 02908
Phone (401) 228-7585

NPI Registry JSON

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1104967157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 KIRKBRAE DR",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651008",
            "telephone_number": "401-228-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 CHALKSTONE AVE",
            "address_2": "2ND FLOOR",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084220",
            "telephone_number": "401-228-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US CARE PAIN CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-11",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "HAFEEZ",
        "authorized_official_middle_name": "URRAHMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-228-7585",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "RI",
            "license": "MD10308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.