Pain Management & Rehab Consult

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

MC2421 Issued in AR

Legal business name

PAIN MANAGEMENT & REHAB CONSULT

Practice address

2531 Tinas Crossing
Fayetteville, AR 72703

Phone

(479) 587-8753

Fax

(479) 587-8754

NPI assigned

Jun 3, 2006

Last updated

Mar 21, 2008By 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. Felisha F Harp

Title

Office Manager Billing

Phone

(479) 587-1753

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

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.

• Cathy C Luo, M.D

  • Specialist
  • Fayetteville, AR
  • NPI 1417964859
  Medicare reassignment NPD
• Danny Silver, MD

  • Emergency Medicine Physician
  • Fort Smith, AR
  • NPI 1972582260

  Pain Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1396783338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9928",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "72701",
            "telephone_number": "479-587-8753",
            "fax_number": "479-587-8754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2531 TINAS CROSSING",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "72703",
            "telephone_number": "479-587-8753",
            "fax_number": "479-587-8754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT & REHAB CONSULT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "HARP",
        "authorized_official_first_name": "FELISHA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OFFICE MANAGER BILLING",
        "authorized_official_telephone_number": "479-587-1753",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "E4333",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AR",
            "license": "MC2421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15611001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hayley Day Paape, LPC
• Evren Pacalioglu Tore
• Catherine Padon, LAC
• Amanda Lee Pagan, MHPP
• Elisabeth Pagan
• Kaitlyn Marie Paine, MD
• Kristine Palmer, MD
• Matthew Palmer, DPT
• Kathryn A Panek, MD
• Ralph Christopher Panek, MD

• Pain Medicine Physician in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Pain Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; 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.