Preferred Pain Management, LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

PREFERRED PAIN MANAGEMENT, LLC

Practice address

153 W Lake Mead Pkwy
Henderson, NV 89015-7044

Phone

(855) 544-7246

NPI assigned

Oct 12, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Jack William Haneman

Title

Ceo

Phone

(916) 784-2200

Specialties & licenses 1

Addresses

Tax ID family

Preferred Pain Management2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Preferred Pain Management

  • Exclusive Provider Organization
  • Henderson, NV
  • NPI 1588938294
  NPD tax ID

Locations

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1346525136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 W LAKE MEAD PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157044",
            "telephone_number": "855-544-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 W LAKE MEAD PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157044",
            "telephone_number": "855-544-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-12",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "HANEMAN",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-784-2200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard H Pratt, PH.D.
• Praxair Healthcare Services, Inc.
• Precious Care Hospice Inc.
• Precision Orthotics & Prosthetics, LLC
• Preferred Pain Management
• Matthew Peter Prekupec, M.D.
• Premere Rehab LLC
• Premere Rehab LLC
• Premier Medical LLC
• Premier Medical Services Gandhi Patel Sonpatki PLLC

• Preferred Provider Organization in Henderson, NV
• Providers in Henderson, NV by specialty
• Preferred Provider Organization in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.