Organization Active NPI

Advanced Paincare LLP

Doing business as Advanced Paincare

  • Interventional Pain Medicine Physician
  • Henderson, NV
National Provider Identifier
1447439864
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
9403 Issued in NV
Legal business name
ADVANCED PAINCARE LLP
Doing business as
Advanced Paincare
Practice address
2865 Siena Heights Dr
Suite 120
Henderson, NV 89052-4167
Phone
(702) 932-0606
Fax
(702) 932-0605
NPI assigned
Nov 1, 2007
Last updated
Dec 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Authorized official

Name
Dr. Michael Fishell, M.D.NPI 1619045689
Title
Owner
Phone
(702) 932-0606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X 9403 NV Primary

Addresses

Primary practice location

2865 Siena Heights Dr
Suite 120
Henderson, NV 89052-4167

Mailing address

2505 Anthem Village Dr
Suite E625
Henderson, NV 89052-5505
Phone (701) 932-0606

Other names 1

  • ADVANCED PAINCARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040326000113 NV Part B Supplier - Clinic/Group Practice 5991697815 Receives reassigned benefits from 4 practitioners
Practice locations: Las Vegas, NV; Henderson, NV

National Provider Directory

National Provider Directory

Locations

2505 Anthem Village Dr
#E625
Henderson, NV 89052

2505 Anthem Village Dr
Ste E625
Henderson, NV 89052

2865 Siena Heights Dr
Ste 120
Henderson, NV 89052
Phone (702) 932-0606

866 Seven Hills Dr
Henderson, NV 89052
Phone (702) 882-0278

Practitioners & affiliated clinicians

Practitioners 5

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": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1447439864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 ANTHEM VILLAGE DR",
            "address_2": "SUITE E625",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525505",
            "telephone_number": "701-932-0606",
            "fax_number": "702-932-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 SIENA HEIGHTS DR",
            "address_2": "SUITE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524167",
            "telephone_number": "702-932-0606",
            "fax_number": "702-932-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PAINCARE LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "FISHELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-932-0606",
        "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": "NV",
            "license": "9403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED PAINCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.