Organization Active NPI

Pain and Palliative Care, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Norwich, CT
National Provider Identifier
1396791380
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
021754 Issued in CT
Legal business name
PAIN AND PALLIATIVE CARE, LLC
Practice address
111 Salem Turnpike Rd RT 82
Norwich, CT 06360-3408
Phone
(860) 425-5900
Fax
(860) 889-8780
NPI assigned
May 25, 2006
Last updated
Jun 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Authorized official

Name
Dr. Edward P Hargus, MD
Title
Owner, PPC, LLC
Phone
(860) 889-0759

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 021754 CT Primary

Addresses

Primary practice location

111 Salem Turnpike Rd RT 82
Norwich, CT 06360-3408

Mailing address

111 Salem Turnpike Rd RT 82
Norwich, CT 06360-3408
Phone (860) 425-5900

National Provider Directory

National Provider Directory

Locations

111 Salem Tpke
#82
Norwich, CT 06360
Phone (860) 425-5900

119 Sachem St
Norwich, CT 06360
Phone (860) 859-3006

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1396791380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SALEM TURNPIKE RD RT 82",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063603408",
            "telephone_number": "860-425-5900",
            "fax_number": "860-889-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SALEM TURNPIKE RD RT 82",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063603408",
            "telephone_number": "860-425-5900",
            "fax_number": "860-889-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN AND PALLIATIVE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "HARGUS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER, PPC, LLC",
        "authorized_official_telephone_number": "860-889-0759",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CT",
            "license": "021754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.