Pikes Peak Pain Management, LP

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

160541 Issued in CO

Legal business name

PIKES PEAK PAIN MANAGEMENT, LP

Practice address

3107 W Colorado Ave # 300
Colorado Springs, CO 80904-2040

Phone

(205) 370-2381

NPI assigned

Dec 3, 2008

Organization subpart

Yes

Parent organization

PROFESSIONAL ANESTHESIA ASSOCIATES, PCAs reported in NPPES

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

Authorized official

Name

Mr. John Clifford Allen, CRNANPI 1063455541

Title

General Partner

Phone

(205) 370-2381

Specialties & licenses 1

Addresses

Part of

Professional Anesthesia Associates PC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Professional Anesthesia Associates, PC

  • Certified Registered Nurse Anesthetist
  • Colorado Springs, CO
  • NPI 1871738062
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Clifford Allen, M.S., D.A.A.E.T.S.

  • Registered Nurse
  • Birmingham, AL
  • NPI 1063455541
  NPD (past) Authorized official

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1144465337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3533 LIPAN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113048",
            "telephone_number": "205-370-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 W COLORADO AVE # 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809042040",
            "telephone_number": "205-370-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKES PEAK PAIN MANAGEMENT, LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROFESSIONAL ANESTHESIA ASSOCIATES, PC",
        "enumeration_date": "2008-12-03",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CLIFFORD",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "205-370-2381",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CO",
            "license": "160541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pikes Peak Nephrology Associates PC
• Pikes Peak Occupational Therapy Inc
• Pikes Peak Occupational Therapy, Inc.
• Pikes Peak Orthopaedic Surgery and Sports Medicine, PLLC
• Pikes Peak Os PLLC
• Pikes Peak Pathways, Pikes Peak Boces
• Pikes Peak Peer Support LLC
• Pikes Peak Physical Medicine, P.C.
• Pikes Peak Professional Counselors, LLC
• Pikes Peak Psychotherapy, Inc.

• All providers in Colorado Springs, CO
• Interventional Pain Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.