Pain Be-Gone Anesthesia Services Inc

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

367500000X Issued in IA

Legal business name

PAIN BE-GONE ANESTHESIA SERVICES INC

Practice address

1001 12TH St N
Humboldt, IA 50548

Phone

(515) 604-6618

Fax

(515) 604-6627

NPI assigned

Jun 8, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Allen Pekkala, CRNA

Title

Pain Specialist

Phone

(515) 604-6618

Specialties & licenses 1

Addresses

Other names 1

• Advanced Pain Clinic Doing business as

Locations

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534550400000",
    "number": "1295055648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 265",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "505480265",
            "telephone_number": "515-604-6618",
            "fax_number": "515-604-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 12TH ST N",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "50548",
            "telephone_number": "515-604-6618",
            "fax_number": "515-604-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN BE-GONE ANESTHESIA SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-08",
        "last_updated": "2018-08-18",
        "status": "A",
        "authorized_official_last_name": "PEKKALA",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PAIN SPECIALIST",
        "authorized_official_telephone_number": "515-604-6618",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "IA",
            "license": "367500000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Pain Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Pain Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Humboldt, IA
• Pain Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2018; 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.