Pain & Interventional Radiology Specialists, P.a.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

PAIN & INTERVENTIONAL RADIOLOGY SPECIALISTS, P.A.

Doing business as

Interventional Pain Management Center

Practice address

3800 E Johnson Ave
Ste E
Jonesboro, AR 72401-1931

Phone

(870) 932-0399

Fax

(870) 932-0499

NPI assigned

Apr 22, 2016

Last updated

Oct 10, 2016By 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 Wendel, M.D.NPI 1659494334

Title

Partner

Phone

(870) 932-0399

Specialties & licenses 2

Addresses

Other names 1

• Interventional Pain Management Center Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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 Wendel

  • Vascular & Interventional Radiology Physician
  • Jonesboro, AR
  • NPI 1659494334
  Medicare reassignment Care Compare group NPD Authorized official
• Wolf E Heberlein, MD

  • Interventional Pain Medicine Physician
  • Jonesboro, AR
  • NPI 1922121698
  Medicare reassignment Care Compare group NPD
• Melanie Renee New, APN

  • Clinical Nurse Specialist
  • Jonesboro, AR
  • NPI 1982982542
  Medicare reassignment Care Compare group NPD
• Amy Deatherage

  • Family Nurse Practitioner
  • Paragould, AR
  • NPI 1720489032
  Medicare reassignment NPD

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1144674409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 E JOHNSON AVE",
            "address_2": "STE E",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724011931",
            "telephone_number": "870-932-0399",
            "fax_number": "870-932-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 E JOHNSON AVE",
            "address_2": "STE E",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724011931",
            "telephone_number": "870-932-0399",
            "fax_number": "870-932-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN & INTERVENTIONAL RADIOLOGY SPECIALISTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "WENDEL",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "870-932-0399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interventional Pain Management Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pacc Senior Care, LLC (Home Instead #478)
• Caroline Elizabeth Pace, PHARM.D.
• Stephen Riley Pace Jr., MD
• Katelin Pacella
• Carrie Lynn Page
• Pain Center LLC
• Pain Treatment Centers of America, PLLC
• Deepak Kumar Palanichami, M.D.
• Baylee Layne Palese
• Sherrie Palmer

• Interventional Pain Medicine Physician in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Interventional Pain Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.