Pain Relief Medical PLLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

PAIN RELIEF MEDICAL PLLC

Doing business as

Laser Pain Relief Centers of America

Practice address

1209 E 8TH St
Traverse City, MI 49686-2938

Phone

(231) 421-1025

Fax

(231) 642-9101

NPI assigned

Jan 17, 2020

Last updated

Aug 31, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Todd Hall

Title

Practice Manager

Phone

(231) 421-1025

Specialties & licenses 1

Addresses

Other names 1

• Laser Pain Relief Centers of America Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1184254252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 E 8TH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862938",
            "telephone_number": "231-421-1025",
            "fax_number": "231-642-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 E 8TH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862938",
            "telephone_number": "231-421-1025",
            "fax_number": "231-642-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN RELIEF MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "231-421-1025",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "2316429101",
            "affiliation": "N",
            "endpointDescription": "cloud based hipaa compliant fax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "fax",
            "address_1": "1209 E 8th St",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496862938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Laser Pain Relief Centers of America",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Laser Pain Relief Centers of America",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pace North
• Robert Leon Pacer, MD
• Jill Page
• Julie J Page
• Angela Pailthorpe, PA-C
• Marylee Pakieser, FNP
• Mateo Reid Palacios
• Ame Rica Santiago Palacpac
• Christopher Vincent Palazzolo
• Andrew David Palmer, PA

• Pain Clinic/Center in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Pain Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.