Organization Active NPI

Seacoast Pain Center, LLC

  • Interventional Pain Medicine Physician
  • Newburyport, MA
National Provider Identifier
1174928543
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
SEACOAST PAIN CENTER, LLC
Practice address
21 Highland Ave
Suite 16
Newburyport, MA 01950-3872
Phone
(877) 732-6960
NPI assigned
Oct 28, 2014
Last updated
Oct 28, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
BEVERLY ANESTHESIA ASSOCIATES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Authorized official

Name
Janice E Reynolds
Title
Office Manager
Phone
(978) 304-8690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X MA Primary

Addresses

Primary practice location

21 Highland Ave
Suite 16
Newburyport, MA 01950-3872

Mailing address

480 Maple St
Suite C233A
Danvers, MA 01923-4065
Phone (978) 304-8690

National Provider Directory

National Provider Directory
Part of
Beverly Anesthesia Associates Inc

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1174928543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 MAPLE ST",
            "address_2": "SUITE C233A",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019234065",
            "telephone_number": "978-304-8690",
            "fax_number": "978-304-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HIGHLAND AVE",
            "address_2": "SUITE 16",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503872",
            "telephone_number": "877-732-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEACOAST PAIN CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEVERLY ANESTHESIA ASSOCIATES, INC.",
        "enumeration_date": "2014-10-28",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "978-304-8690"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.