Pain Relief 1 LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

PAIN RELIEF 1 LLC

Practice address

526 W Wisconsin Ave
Appleton, WI 54911-4382

Phone

(920) 427-8271

NPI assigned

Jun 10, 2021

Last updated

Jun 10, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristyn Billings

Title

Credentialing Manager

Phone

(412) 655-4362

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

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.

• Maurizio Zeki Albala, M.D.

  • Anesthesiology Physician
  • Appleton, WI
  • NPI 1407884984

  Interventional Pain Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1346817988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1274",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549121274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 W WISCONSIN AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549114382",
            "telephone_number": "920-427-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN RELIEF 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "BILLINGS",
        "authorized_official_first_name": "KRISTYN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "412-655-4362"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "55475",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Louise Page, M.D.,M.A.
• Charlene Marie Pagel, CNM
• Kavitha Paidipati, DMD
• Pain Centers of Wisconsin - Appleton, LLC
• Pain Centers of Wisconsin - Appleton, LLC
• Amy Marie Paine, COTA
• Jolanta M Pajek, D.D.S.
• Kristen Pallex, ATC, LAT
• Paola A Palma Sisto, MD
• Jillian Lee Palmbach, 17632-130

• Interventional Pain Medicine Physician in Appleton, WI
• Providers in Appleton, WI by specialty
• Interventional Pain Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.

Verify at the official NPI Registry.