Pain South PA

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

PAIN SOUTH PA

Practice address

1 Mercy LN
Suite 304
Hot Springs, AR 71913-6442

Phone

(501) 321-4772

Fax

(501) 321-3543

NPI assigned

Nov 17, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Jacob E Abraham, MD

Title

Officer

Phone

(501) 321-4772

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Pain South PA dba Hot Springs Interventional Pain Management Doing business as

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1245212935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MERCY LN",
            "address_2": "SUITE 304",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136442",
            "telephone_number": "501-321-4772",
            "fax_number": "501-321-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MERCY LN",
            "address_2": "SUITE 304",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136442",
            "telephone_number": "501-321-4772",
            "fax_number": "501-321-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN SOUTH PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "501-321-4772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121454001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125247001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain South PA dba Hot Springs Interventional Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Troy W Oxner, D.O.
• John Mark Pascua Pabona, MD
• John Robert Pace, MD
• Lamont Page, MHPP
• Harneet Singh Pahwa, MD
• Pain Treatment Centers of America, PLLC
• Karol Palczynski, MD
• Lee Palmer, SLP
• Sudhir Kumar Pandit, MD
• Anna J Parchman, MD

• Pain Clinic/Center in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Pain Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.