Primary Pain Solutions LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

5124 Issued in AK

Legal business name

PRIMARY PAIN SOLUTIONS LLC

Practice address

7810 Canal St
Anchorage, AK 99502-4261

Phone

(907) 529-1898

Fax

(800) 861-3488

NPI assigned

Dec 29, 2015

Organization subpart

No

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

Authorized official

Name

Mary Beth Risvold, M.D.

Title

Manager

Phone

(907) 529-1898

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1174988539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100216",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995100216",
            "telephone_number": "907-529-1898",
            "fax_number": "800-861-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7810 CANAL ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995024261",
            "telephone_number": "907-529-1898",
            "fax_number": "800-861-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY PAIN SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "RISVOLD",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "907-529-1898",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "AK",
            "license": "5124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Clinic/Center in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Pain Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.