Active NPI
Pain Management Partners LLC
- Pain Medicine (Anesthesiology) Physician
- New Milford, CT
National Provider Identifier
1174155642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- PAIN MANAGEMENT PARTNERS LLC
- Practice address
- 131 Kent Rd Ste 201
New Milford, CT 06776-3489 - Phone
- (860) 717-2676
- Fax
- (860) 717-2675
- NPI assigned
- Feb 12, 2020
- 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
- Elizabeth Ann Sprague, DO
- Title
- Practice Manager
- Phone
- (203) 885-1441
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
131 Kent Rd Ste 201
New Milford, CT 06776-3489
Mailing address
7 Old Sherman Tpke Ste 209
Danbury, CT 06810-4174
Phone (203) 885-1441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306485925 | Other | NPPES |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ERHsoftware |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Pain Medicine (Anesthesiology) Physician
- Farmington, CT
- NPI 1164057568
O20200422000935
-
- Pain Medicine (Anesthesiology) Physician
- Waterbury, CT
- NPI 1306485925
O20200422000935
-
- Pain Medicine (Anesthesiology) Physician
- Danbury, CT
- NPI 1669007076
O20200422000935
-
- Pain Medicine (Anesthesiology) Physician
- Newtown, CT
- NPI 1922628957
O20200422000935
National Provider Directory
National Provider DirectoryLocations
7 Old Sherman Tpke
Ste 209
Danbury, CT 06810
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Farmington, CT
- NPI 1316935034
-
- Medical Physician Assistant
- Trumbull, CT
- NPI 1669577953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655337600000",
"number": "1174155642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 OLD SHERMAN TPKE STE 209",
"city": "DANBURY",
"state": "CT",
"postal_code": "068104174",
"telephone_number": "203-885-1441",
"fax_number": "475-329-2283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 KENT RD STE 201",
"city": "NEW MILFORD",
"state": "CT",
"postal_code": "067763489",
"telephone_number": "860-717-2676",
"fax_number": "860-717-2675"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN MANAGEMENT PARTNERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-12",
"last_updated": "2022-06-16",
"certification_date": "2021-07-28",
"status": "A",
"authorized_official_last_name": "SPRAGUE",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "203-885-1441",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES",
"identifier": "1306485925",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "ERHsoftware",
"affiliation": "N",
"address_1": "131 Kent Rd Ste 201",
"city": "New Milford",
"state": "CT",
"country_code": "US",
"postal_code": "067763489",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New Milford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.