Valley Pain Clinic LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

27458 Issued in AL

Legal business name

VALLEY PAIN CLINIC LLC

Practice address

2506 Danville Rd SW
Suite 206
Decatur, AL 35603-4232

Phone

(256) 301-9994

Fax

(256) 350-8763

NPI assigned

Oct 26, 2010

Last updated

Oct 26, 2010By 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

Mr. Ahmad Shikhtholth, M.DNPI 1902987431

Title

President

Phone

(256) 301-9994

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 10

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.

• Ahmad Shikhtholth, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Decatur, AL
  • NPI 1902987431
  Medicare reassignment Care Compare group NPD Authorized official
• Shawnna B Williams, CRNP

  • Acute Care Nurse Practitioner
  • Decatur, AL
  • NPI 1407249899
  Medicare reassignment Care Compare group NPD
• Jeffrey M Markham, MD

  • Anesthesiology Physician
  • Decatur, AL
  • NPI 1760452072
  Medicare reassignment NPD
• Mohamed Ahmed, M.D.

  • Internal Medicine Physician
  • Florence, AL
  • NPI 1366444861
  NPD (past)
• Jennifer Jo Beatty, CRNP

  • Acute Care Nurse Practitioner
  • Madison, AL
  • NPI 1851681548
  NPD (past)
• Edwin Keith Matthews, MD

  • Family Medicine Physician
  • Decatur, AL
  • NPI 1316965908
  NPD (past)
• Ivan Pivovarov, MD

  • Family Medicine Physician
  • Madison, AL
  • NPI 1467662148
  NPD (past)
• Martha Read, M.D.

  • Family Medicine Physician
  • Decatur, AL
  • NPI 1427465434
  NPD (past)
• John Evan Willis, CRNP

  • Nurse Practitioner
  • Madison, AL
  • NPI 1275831703
  NPD (past)
• Yassin Mohamed, M.D.

  • Internal Medicine Physician
  • Frederick, MD
  • NPI 1386752806
  NPD (past)

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1386944239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 DANVILLE RD SW",
            "address_2": "SUITE 206",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356034232",
            "telephone_number": "256-301-9994",
            "fax_number": "256-350-8763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 DANVILLE RD SW",
            "address_2": "SUITE 206",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356034232",
            "telephone_number": "256-301-9994",
            "fax_number": "256-350-8763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PAIN CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "SHIKHTHOLTH",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-301-9994",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AL",
            "license": "27458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley Institute of Primary Medical Care of Alabama
• Valley Institute of Primary Medical Care of Alabama, LLC
• Valley Internal Medicine
• Valley Internal Medicine and Pediatrics
• Valley Orthodontics LLC
• Valley Pathology, L.L.C.
• Valley Pharmacy LLC
• Valley Psychiatric Associates, P.C.
• Valley Pulmonary & Critical Care, P.C.
• Molly Van Hemert

• Pain Medicine (Anesthesiology) Physician in Decatur, AL
• Providers in Decatur, AL by specialty
• Pain Medicine (Anesthesiology) Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.