Comprehensive Pain Clinic PC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

42472 Issued in CT

Legal business name

COMPREHENSIVE PAIN CLINIC PC

Practice address

677 S Main St
Cheshire, CT 06410-3158

Phone

(203) 699-8880

Fax

(203) 271-1841

NPI assigned

Jun 12, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Yassar F Shaheen, MD

Title

Owner

Phone

(401) 723-5533

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FDEICA

Practitioners 1

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

• Yasser Shaheen, MD

  • Interventional Pain Medicine Physician
  • Cheshire, CT
  • NPI 1881674398
  Medicare reassignment NPD

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413417600000",
    "number": "1255745741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 S MAIN ST",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103158",
            "telephone_number": "203-699-8880",
            "fax_number": "203-271-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 S MAIN ST",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103158",
            "telephone_number": "203-699-8880",
            "fax_number": "203-271-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PAIN CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-12",
        "last_updated": "2014-10-16",
        "status": "A",
        "authorized_official_last_name": "SHAHEEN",
        "authorized_official_first_name": "YASSAR",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-723-5533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CT",
            "license": "42472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT LIC",
            "identifier": "42472",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Connecticut CVS Pharmacy, L.L.C. (CVS Pharmacy # 02502)
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• Interventional Pain Medicine Physician in Cheshire, CT
• Providers in Cheshire, CT by specialty
• Interventional Pain Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.