Active NPI
Headache & Pain Center, a Medical Corporation
- Durable Medical Equipment & Medical Supplies
- New Iberia, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- HEADACHE & PAIN CENTER, A MEDICAL CORPORATION
- Practice address
- 531A Jefferson Ter
New Iberia, LA 70560-4949 - Phone
- (337) 560-0880
- Fax
- (337) 560-0870
- NPI assigned
- Jan 25, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jimmy Nolan Ponder Jr., MD
- Title
- Ceo
- Phone
- (985) 580-1200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
531A Jefferson Ter
New Iberia, LA 70560-4949
Mailing address
123 Frontage Road a
Gray, LA 70359-6301
Phone (985) 580-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180201002957 | LA | DME Supplier - Physician - Interventional Pain Management | 5890777114 | Practice locations: New Iberia, LA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Interventional Pain Medicine Physician
- Gray, LA
- NPI 1073568325
5890777114
National Provider Directory
National Provider DirectoryLocations
149 Frontage Road a
Gray, LA 70359
Phone (985) 580-1200
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Gray, LA
- NPI 1689644874
-
- Family Nurse Practitioner
- New Iberia, LA
- NPI 1992586424
-
- Family Nurse Practitioner
- Baton Rouge, LA
- NPI 1952975450
-
- Physician Assistant
- New Iberia, LA
- NPI 1619709185
-
- Family Nurse Practitioner
- Gray, LA
- NPI 1588320089
-
- Nurse Practitioner
- Gray, LA
- NPI 1225481211
-
- Medical Physician Assistant
- Gray, LA
- NPI 1932179603
-
- Interventional Pain Medicine Physician
- Knoxville, TN
- NPI 1457321648
-
- Medical Physician Assistant
- Burlington, MA
- NPI 1023088697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1516838400000",
"number": "1326546276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 FRONTAGE ROAD A",
"city": "GRAY",
"state": "LA",
"postal_code": "703596301",
"telephone_number": "985-580-1200",
"fax_number": "985-580-1218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "531A JEFFERSON TER",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705604949",
"telephone_number": "337-560-0880",
"fax_number": "337-560-0870"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEADACHE & PAIN CENTER, A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-25",
"last_updated": "2018-01-25",
"status": "A",
"authorized_official_last_name": "PONDER",
"authorized_official_first_name": "JIMMY",
"authorized_official_middle_name": "NOLAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "985-580-1200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Iberia, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.