Organization Active NPI

Pca Pain Care Center of Virigina, Inc

Doing business as PCA Pain Care Center

  • Pain Medicine (Anesthesiology) Physician
  • Blacksburg, VA
National Provider Identifier
1285919472
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
PCA PAIN CARE CENTER OF VIRIGINA, INC
Doing business as
PCA Pain Care Center
Practice address
825 Davis St # E
Blacksburg, VA 24060-7013
Phone
(800) 909-9220
NPI assigned
Oct 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Authorized official

Name
Konrad H Kaeding
Title
President
Phone
(800) 909-5866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

825 Davis St # E
Blacksburg, VA 24060-7013

Mailing address

825 Davis St # E
Blacksburg, VA 24060-7013

Other names 1

  • PCA Pain Care Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1285919472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 DAVIS ST # E",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 DAVIS ST # E",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607013",
            "telephone_number": "800-909-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCA PAIN CARE CENTER OF VIRIGINA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "KAEDING",
        "authorized_official_first_name": "KONRAD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-909-5866"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PCA Pain Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blacksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.