Organization Active NPI

Ambulatory Care Pain Specialists

  • Pain Medicine Physician
  • Harriman, TN
National Provider Identifier
1346534286
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
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

Updated by the provider on Jun 14, 2011

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)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.