Southeast Pain Management Services, PLLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

SOUTHEAST PAIN MANAGEMENT SERVICES, PLLC

Practice address

927 East Blvd
Charlotte, NC 28203-5203

Phone

(704) 377-5772

Fax

(707) 377-3389

NPI assigned

Apr 18, 2006

Last updated

Oct 18, 2010By 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. William Hawk

Title

Vice President

Phone

(954) 384-0175

Specialties & licenses 1

Addresses

Locations

Practitioners 42

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.

• Scott Arnold Ajello, PA-C

  • Physician Assistant
  • Sherrills Ford, NC
  • NPI 1750345161
  NPD (past)
• Candace Bishop, PA-C

  • Physician Assistant
  • Concord, NC
  • NPI 1366651143
  NPD (past)
• Graham Wesley Bullard, MD

  • Pain Medicine (Anesthesiology) Physician
  • Winston Salem, NC
  • NPI 1861480469
  NPD (past)
• James Michael Chimiak, M.D.

  • Anesthesiology Physician
  • Morganton, NC
  • NPI 1558327858

  Pain Medicine

  NPD (past)
• Alison Jean Dominguez, P.A.

  • Medical Physician Assistant
  • Concord, NC
  • NPI 1740245224
  NPD (past)
• William M Evans, MD

  • Interventional Pain Medicine Physician
  • Valdese, NC
  • NPI 1558318535
  NPD (past)
• Zachariah Gerger, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • Charlotte, NC
  • NPI 1508829490
  NPD (past)
• Richard Lee Gilbert, MD

  • Pain Medicine (Anesthesiology) Physician
  • Charlotte, NC
  • NPI 1508854068
  NPD (past)
• Troy C. Gingerich, MD

  • Interventional Pain Medicine Physician
  • Charlotte, NC
  • NPI 1104007319
  NPD (past)
• Michelle Simmons Hopkins, PA

  • Physician Assistant
  • Huntersville, NC
  • NPI 1699877340
  NPD (past)
• Jon-David Hoppenfeld, MD

  • Interventional Pain Medicine Physician
  • Charlotte, NC
  • NPI 1336305473
  NPD (past)
• Paul Kevin Jaszewski, MD

  • Anesthesiology Physician
  • Charlotte, NC
  • NPI 1356339873

  Pain Medicine

  NPD (past)

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1255396933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 EAST BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035203",
            "telephone_number": "704-377-5772",
            "fax_number": "707-377-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 EAST BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035203",
            "telephone_number": "704-377-5772",
            "fax_number": "707-377-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST PAIN MANAGEMENT SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "HAWK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "954-384-0175",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southcross Family Medicine PLLC
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• Southeast Anesthesiology Consultants, PLLC
• Southeast Bariatrics
• Southeast Family Care PLLC
• Southeast Pathology Consultants, Inc.
• Southeast Psychological Services PLLC
• Southeast Psychological Services, PLLC
• Southeast Radiation Oncology Group, P.a.
• Southeast Radiology Associates PLLC

• Pain Medicine (Anesthesiology) Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Pain Medicine (Anesthesiology) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.