Pain Consultants of West Tennessee

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

MD14614 Issued in TN

Legal business name

PAIN CONSULTANTS OF WEST TENNESSEE

Practice address

160 W University Pkwy Ste C
Jackson, TN 38305-1667

Phone

(731) 660-5116

Fax

(731) 660-5119

NPI assigned

Sep 21, 2007

Last updated

Dec 3, 2007By 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

Dr. Frank Edwin Jordan, M.D.NPI 1841286853

Title

Owner

Phone

(731) 660-5116

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 4

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.

• Frank Edwin Jordan, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Jackson, TN
  • NPI 1841286853
  Authorized official Same address or phone
• Teresa Diane Kee, NP

  • Family Nurse Practitioner
  • Jackson, TN
  • NPI 1689708224
  NPD (past)
• Mary Katherine McDonald, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Hixson, TN
  • NPI 1396710794
  NPD (past)
• Kristi Jeanette Riddle, FNP

  • Family Nurse Practitioner
  • Jackson, TN
  • NPI 1568452837
  NPD (past)

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1447446570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 W UNIVERSITY PKWY STE C",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051667",
            "telephone_number": "731-660-5116",
            "fax_number": "731-660-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 W UNIVERSITY PKWY STE C",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051667",
            "telephone_number": "731-660-5116",
            "fax_number": "731-660-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CONSULTANTS OF WEST TENNESSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-660-5116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TN",
            "license": "MD14614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "1840642",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3708392",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "3039369",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ramon Padilla, P.A.
• Mariana Pagan Rosso, MD
• Corey Amanda Page, FNP-BC
• Jackie Pagliara
• Pain Clinic Associates PLLC
• Jenna Rose Pall
• Edmund T Palmer, MD
• Ross Palmer, RN, APN, CRNA
• Parker Panovec, MD
• Nirbhay Parashar, MD

• Pain Medicine (Anesthesiology) Physician in Jackson, TN
• Providers in Jackson, TN by specialty
• Pain Medicine (Anesthesiology) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.