Active NPI
Neuropathy and Pain Solutions of Marion LTD
- Pain Medicine (Anesthesiology) Physician
- Marion, IL
National Provider Identifier
1154085710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- NEUROPATHY AND PAIN SOLUTIONS OF MARION LTD
- Practice address
- 1603 W Kimmel St
Marion, IL 62959-1008 - Phone
- (618) 993-2906
- NPI assigned
- Oct 28, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brandon Williams
- Title
- Authorized Official
- Phone
- (618) 993-2906
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary | ||
| Family Medicine Physician | 207Q00000X |
Addresses
Primary practice location
1603 W Kimmel St
Marion, IL 62959-1008
Mailing address
1603 W Kimmel St
Marion, IL 62959-1008
Phone (618) 993-2906
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgical Physician Assistant
- Swansea, IL
- NPI 1134355175
-
- Family Nurse Practitioner
- Christopher, IL
- NPI 1437734001
-
- Physician Assistant
- Marion, IL
- NPI 1063037711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635379200000",
"number": "1154085710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1603 W KIMMEL ST",
"city": "MARION",
"state": "IL",
"postal_code": "629591008",
"telephone_number": "618-993-2906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1603 W KIMMEL ST",
"city": "MARION",
"state": "IL",
"postal_code": "629591008",
"telephone_number": "618-993-2906"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROPATHY AND PAIN SOLUTIONS OF MARION LTD",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-28",
"last_updated": "2021-10-28",
"certification_date": "2021-10-27",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "BRANDON",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "618-993-2906"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.