Active NPI
Ambulatory Care Pain Specialists
- Pain Medicine Physician
- Harriman, TN
National Provider Identifier
1346534286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- AMBULATORY CARE PAIN SPECIALISTS
- Practice address
- 2497 S Roane St
Harriman, TN 37748-8670 - Phone
- (423) 346-5566
- Fax
- (423) 346-5631
- NPI assigned
- Jun 8, 2011
- 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
- Sanjay P Thakur, M.D.
- Title
- Physician/Owner
- Phone
- (423) 346-5566
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | Primary | ||
| Interventional Pain Medicine Physician | 208VP0014X |
Addresses
Primary practice location
2497 S Roane St
Harriman, TN 37748-8670
Mailing address
PO Box 368
Wartburg, TN 37887-0368
Phone (423) 346-5566
Other names 1
- Ambulatory Care Pain Specialists
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1902947807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308009600000",
"number": "1346534286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 368",
"city": "WARTBURG",
"state": "TN",
"postal_code": "378870368",
"telephone_number": "423-346-5566",
"fax_number": "423-346-5631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2497 S ROANE ST",
"city": "HARRIMAN",
"state": "TN",
"postal_code": "377488670",
"telephone_number": "423-346-5566",
"fax_number": "423-346-5631"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMBULATORY CARE PAIN SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-08",
"last_updated": "2011-06-14",
"status": "A",
"authorized_official_last_name": "THAKUR",
"authorized_official_first_name": "SANJAY",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "423-346-5566",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ambulatory Care Pain Specialists",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Harriman, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.