NPIMap

Organization Active NPI

Abdul Naushad MD PC

Doing business as Advanced Pain Center

  • Pain Medicine Physician
  • Poplar Bluff, MO
National Provider Identifier
1306839196
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
ABDUL NAUSHAD MD PC
Doing business as
Advanced Pain Center
Practice address
2865 James Blvd
Poplar Bluff, MO 63901-2803
Phone
(636) 638-1506
Fax
(636) 638-1507
NPI assigned
Aug 26, 2005
Last updated
Mar 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Authorized official

Name
Dr. Abdul N Naushad, M.D.NPI 1972596757
Title
President
Phone
(636) 638-1506

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X MO
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X MO
Pain Medicine Physician 208VP0000X Primary

Addresses

Primary practice location

2865 James Blvd
Poplar Bluff, MO 63901-2803

Mailing address

622 Collins Dr
Ste. 200
Festus, MO 63028-2077
Phone (636) 638-1506

Other identifiers 4

IdentifierTypeStateIssuer
567896OtherMOHEALTHLINK
000000471330OtherMOBCBS
1306839196MedicaidMO
197806OtherMOBLUE CROSS BLUE SHIELD

Other names 1

  • Advanced Pain Center Doing business as

National Provider Directory

National Provider Directory

Locations

190 Industrial Dr
Crystal Cty, MO 63028
Phone (636) 777-2245

312 N Franklin St
Cuba, MO 65453
Phone (573) 677-0262

205 E 5th St
Eureka, MO 63025
Phone (636) 587-2200

1207 Maple St
Farmington, MO 63640
Phone (573) 756-3000

622 Collins Dr
#200
Festus, MO 63028

1051 Jones St
Kennett, MO 63857
Phone (573) 888-0030

2153 N Westwood Blvd
Poplar Bluff, MO 63901
Phone (573) 776-1100

232 E High St
Potosi, MO 63664
Phone (573) 756-3000

661 Fisher Dr
Sullivan, MO 63080
Phone (573) 860-3000

Practitioners & affiliated clinicians

Practitioners 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1306839196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 COLLINS DR",
            "address_2": "STE. 200",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282077",
            "telephone_number": "636-638-1506",
            "fax_number": "636-638-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 JAMES BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012803",
            "telephone_number": "636-638-1506",
            "fax_number": "636-638-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABDUL NAUSHAD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-26",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "NAUSHAD",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-638-1506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "567896",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000471330",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306839196",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "197806",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Pain Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poplar Bluff, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.