NPIMap

Organization Active NPI

Comprehensive Pain Management, LLC

  • Physical Medicine & Rehabilitation Physician
  • Overland Park, KS
National Provider Identifier
1245549625
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
05-33733 Issued in KS
Legal business name
COMPREHENSIVE PAIN MANAGEMENT, LLC
Practice address
9200 Glenwood St
Suite 102
Overland Park, KS 66212-1365
Phone
(913) 689-8541
Fax
(913) 901-0504
NPI assigned
Oct 1, 2010
Last updated
Nov 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Authorized official

Name
Joshua Marc Stein, D.O.
Title
Sole Member LLC
Phone
(913) 689-8541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 05-33733 KS Primary

Addresses

Primary practice location

9200 Glenwood St
Suite 102
Overland Park, KS 66212-1365

Mailing address

PO Box 700390
Tulsa, OK 74170-0390
Phone (913) 689-8541

National Provider Directory

National Provider Directory

Locations

9200 Glenwood St
Ste 102
Overland Park, KS 66212
Phone (913) 689-8541

NPI Registry JSON

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1245549625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700390",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741700390",
            "telephone_number": "913-689-8541",
            "fax_number": "913-901-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 GLENWOOD ST",
            "address_2": "SUITE 102",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121365",
            "telephone_number": "913-689-8541",
            "fax_number": "913-901-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-01",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "SOLE MEMBER LLC",
        "authorized_official_telephone_number": "913-689-8541",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KS",
            "license": "05-33733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; 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.