Organization Active NPI

Atlantic Pain Management, PA

  • Pain Medicine (Anesthesiology) Physician
  • Wilmington, NC
National Provider Identifier
1356355333
Registry record updated Feb 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
ATLANTIC PAIN MANAGEMENT, PA
Practice address
1801 S 17TH St
Wilmington, NC 28401-6443
Phone
(910) 763-4555
Fax
(910) 798-8923
NPI assigned
Jul 28, 2006
Last updated
Feb 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2010

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

Authorized official

Name
Dr. David P Lensch, M.D.NPI 1528072394
Title
President
Phone
(910) 763-4555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X NC Primary

Addresses

Primary practice location

1801 S 17TH St
Wilmington, NC 28401-6443

Mailing address

1801 S 17TH St
Wilmington, NC 28401-6443
Phone (910) 763-4555

Other identifiers 4

IdentifierTypeStateIssuer
690289QMedicaidNC
CG8401OtherNCMEDICARE RR GROUP NO.
98458OtherNCMEDCOST GROUP NUMBER
0289QOtherNCBCBS GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

1801 S 17th St
Wilmington, NC 28401
Phone (910) 763-4555

1801 S 17th St
Ste 137
Wilmington, NC 28401

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1356355333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016443",
            "telephone_number": "910-763-4555",
            "fax_number": "910-798-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016443",
            "telephone_number": "910-763-4555",
            "fax_number": "910-798-8923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC PAIN MANAGEMENT, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "LENSCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-763-4555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690289Q",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR GROUP NO.",
            "identifier": "CG8401",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST GROUP NUMBER",
            "identifier": "98458",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0289Q",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.