Organization Active NPI

Advanced Pain Control, LTD.

  • Interventional Pain Medicine Physician
  • Newport, KY
National Provider Identifier
1245290170
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
R3L52 Issued in MO
Legal business name
ADVANCED PAIN CONTROL, LTD.
Practice address
601 Washington Ave
390
Newport, KY 41071-1986
Phone
(859) 291-4800
Fax
(859) 655-8588
NPI assigned
Mar 24, 2006
Last updated
Feb 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Richard S. Gahn, MDNPI 1336135417
Title
President
Phone
(314) 768-8491

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X R3L52 MO Primary

Addresses

Primary practice location

601 Washington Ave
390
Newport, KY 41071-1986

Mailing address

12345 W Bend Dr
Suite 302
Saint Louis, MO 63128-2182
Phone (314) 768-0707

National Provider Directory

National Provider Directory

Locations

12345 W Bend Dr
Ste 302
Saint Louis, MO 63128
Phone (314) 768-0707

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1245290170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12345 W BEND DR",
            "address_2": "SUITE 302",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282182",
            "telephone_number": "314-768-0707",
            "fax_number": "314-768-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 WASHINGTON AVE",
            "address_2": "390",
            "city": "NEWPORT",
            "state": "KY",
            "postal_code": "410711986",
            "telephone_number": "859-291-4800",
            "fax_number": "859-655-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PAIN CONTROL, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "GAHN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-768-8491",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MO",
            "license": "R3L52",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.