Conway Pain Clinic, PLLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

MC3115 Issued in AR

Legal business name

CONWAY PAIN CLINIC, PLLC

Practice address

2425 Prince St
Suite 3
Conway, AR 72034-3746

Phone

(501) 358-6560

Fax

(877) 653-3202

NPI assigned

Jun 19, 2015

Organization subpart

No

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

Authorized official

Name

Jevin Allen Smith, M.D.

Title

Organizer/ President

Phone

(501) 327-6665

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1457733057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 PRINCE ST",
            "address_2": "SUITE 3",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343746",
            "telephone_number": "501-358-6560",
            "fax_number": "877-653-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 PRINCE ST",
            "address_2": "SUITE 3",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343746",
            "telephone_number": "501-358-6560",
            "fax_number": "877-653-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY PAIN CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JEVIN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "ORGANIZER/ PRESIDENT",
        "authorized_official_telephone_number": "501-327-6665",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AR",
            "license": "MC3115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conway Medical and Wellness Clinic, LLC
• Conway Neurology PA
• Conway OB-GYN Clinic PA
• Conway Optometry Associates PLLC
• Conway Outpatient Surgery Center
• Conway Physical Therapy Clinic, PA
• Conway Psychiatric Clinic, PLLC
• Conway Psychological Assessment Center
• Conway Public Schools
• Conway Public Schools #01

• Pain Medicine (Anesthesiology) Physician in Conway, AR
• Providers in Conway, AR by specialty
• Pain Medicine (Anesthesiology) Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.