Organization Active NPI

Premier Treatment Centers of NV

Doing business as Modern Pain Treatment Centers

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
National Provider Identifier
1235874082
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
PREMIER TREATMENT CENTERS OF NV
Doing business as
Modern Pain Treatment Centers
Practice address
3201 S Maryland Pkwy Ste 318
Las Vegas, NV 89109-2425
Phone
(702) 665-8390
NPI assigned
May 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Authorized official

Name
Dr. Casey J Thomas, DONPI 1316956212
Title
Ceo
Phone
(312) 401-4557

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

3201 S Maryland Pkwy Ste 318
Las Vegas, NV 89109-2425

Mailing address

PO Box 8389
Seminole, FL 33775-8389
Phone (312) 401-4557

Other names 1

  • Modern Pain Treatment Centers Doing business as

National Provider Directory

National Provider Directory

Locations

3201 S Maryland Pkwy
Ste 318
Las Vegas, NV 89109
Phone (702) 629-7490

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1235874082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8389",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337758389",
            "telephone_number": "312-401-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S MARYLAND PKWY STE 318",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092425",
            "telephone_number": "702-665-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER TREATMENT CENTERS OF NV",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-401-4557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Pain Treatment Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Modern Pain Treatment Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.