Northern Pain MGM Ctr

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

NORTHERN PAIN MGM CTR

Practice address

125 Liberty St
Suite 100
Springfield, MA 01103-1114

Phone

(413) 733-7515

Fax

(413) 733-7371

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bentley Ogoke, M.D.

Title

Owner

Phone

(413) 733-7515

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1447270228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10417",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010412017",
            "telephone_number": "413-540-0150",
            "fax_number": "413-540-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 LIBERTY ST",
            "address_2": "SUITE 100",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031114",
            "telephone_number": "413-733-7515",
            "fax_number": "413-733-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN PAIN MGM CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "OGOKE",
        "authorized_official_first_name": "BENTLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-733-7515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9787666",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M16992",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Interventional Pain Medicine Physician in Springfield, MA
• Providers in Springfield, MA by specialty
• Interventional Pain Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.