Interventional Center for Pain

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

2016043827 Issued in MO

Legal business name

INTERVENTIONAL CENTER FOR PAIN

Practice address

5203 Chippewa St
Suite 301
Saint Louis, MO 63109-2356

Phone

(314) 481-5000

Fax

(314) 481-3037

NPI assigned

Apr 11, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Gurpreet S Padda, M.D

Title

Medical Director

Phone

(314) 481-5000

Specialties & licenses 1

Addresses

Other names 1

• Center for Interventional Pain management Doing business as

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1497288971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5203 CHIPPEWA ST",
            "address_2": "SUITE 301",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631092356",
            "telephone_number": "314-481-5000",
            "fax_number": "314-481-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5203 CHIPPEWA ST",
            "address_2": "SUITE 301",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631092356",
            "telephone_number": "314-481-5000",
            "fax_number": "314-481-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL CENTER FOR PAIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "PADDA",
        "authorized_official_first_name": "GURPREET",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "314-481-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "MO",
            "license": "2016043827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Interventional Pain management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Internal Medicine Consultants II, LLC
• Internal Medicine, LLC
• International Institute of Metropolitan Saint Louis
• International Mosaic Therapy
• Interstaff, Inc
• Interventional Center for Pain
• Intimate Care LLC
• Intron LLC
• Intron LLC
• Intuitive Wellness LLC

• Adult Health Clinical Nurse Specialist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Adult Health Clinical Nurse Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.