Active NPI
Seacoast Pain Center, LLC
- Interventional Pain Medicine Physician
- Newburyport, MA
National Provider Identifier
1174928543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- 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, 2014
- Organization subpart
- Yes
- Parent organization
- BEVERLY ANESTHESIA ASSOCIATES, INC.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
-
- Anesthesiology Physician
- Danvers, MA
- NPI 1427041268
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.