Clinical Pain Consultants, S.C.

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

CLINICAL PAIN CONSULTANTS, S.C.

Practice address

2500 North Mayfair Road
Suite 325
Wauwatosa, WI 53226

Phone

(414) 800-5359

Fax

(414) 800-6308

NPI assigned

Nov 18, 2016

Last updated

Jul 8, 2024By 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

Mrs. Heidi Ann Richburg

Title

Partner

Phone

(414) 800-5359

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1376086611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NORTH MAYFAIR ROAD",
            "address_2": "SUITE 325",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "53226",
            "telephone_number": "414-800-5359",
            "fax_number": "414-800-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NORTH MAYFAIR ROAD",
            "address_2": "SUITE 325",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "53226",
            "telephone_number": "414-800-5359",
            "fax_number": "414-800-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL PAIN CONSULTANTS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "RICHBURG",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "414-800-5359",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Ann Clark, LCSW
• Melanie Anne Clark, M.D.
• Julia Clayton
• Clement J. Zablocki VA Medical Center
• Richard M. Clifford, M.D.
• Clinicare Corporation - Milwaukee Academy
• Frances Clouse, PHARMD
• CMM Sundaram MD SC
• Sue Anne Cochrane, LCSW
• Melissa Katherine Cody, ACNP-BC

• Pain Clinic/Center in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Pain Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.