Organization Active NPI

Omni Pain Management, LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Metairie, LA
National Provider Identifier
1437263522
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
430308 Issued in LA
Legal business name
OMNI PAIN MANAGEMENT, LLC
Practice address
2701 David Dr
Suite a
Metairie, LA 70003-4511
Phone
(504) 455-4949
Fax
(504) 455-4145
NPI assigned
Aug 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tiffany Miller
Title
Co-Manager
Phone
(504) 455-4949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 430308 LA Primary

Addresses

Primary practice location

2701 David Dr
Suite a
Metairie, LA 70003-4511

Mailing address

PO Box 1725
Kenner, LA 70063-1725
Phone (504) 469-1960

National Provider Directory

National Provider Directory

Locations

2701 David Dr
Ste A
Metairie, LA 70003
Phone (504) 455-4949

Practitioners & affiliated clinicians

Practitioners 1

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": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437263522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1725",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700631725",
            "telephone_number": "504-469-1960",
            "fax_number": "504-469-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 DAVID DR",
            "address_2": "SUITE A",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700034511",
            "telephone_number": "504-455-4949",
            "fax_number": "504-455-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "CO-MANAGER",
        "authorized_official_telephone_number": "504-455-4949"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "LA",
            "license": "430308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.