Carson Douglas Pain Care, James H. Sullivan, M.D., LTD.

Primary specialty

SpecialistTaxonomy code 174400000X

License

6200 Issued in NV

Legal business name

CARSON DOUGLAS PAIN CARE, JAMES H. SULLIVAN, M.D., LTD.

Doing business as

Carson Douglas Pain Care

Practice address

973 Mica Dr
Carson City, NV 89705-7170

Phone

(775) 267-9222

Fax

(775) 267-9225

NPI assigned

Nov 20, 2007

Last updated

Mar 6, 2008By 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. Chris J Garrett, M. D.

Title

Owner

Phone

(775) 267-9222

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Carson Douglas Pain Care Doing business as

Practitioners 1

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.

• Randall Goode, MD

  • Pain Medicine (Anesthesiology) Physician
  • Carson City, NV
  • NPI 1891804712
  NPD (past)

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1508047473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897020689",
            "telephone_number": "775-267-9222",
            "fax_number": "775-267-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "973 MICA DR",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897057170",
            "telephone_number": "775-267-9222",
            "fax_number": "775-267-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARSON DOUGLAS PAIN CARE, JAMES H. SULLIVAN, M.D., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-267-9222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NV",
            "license": "6200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1538268529",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1891804712",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1164521142",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carson Douglas Pain Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Carson Physical Therapy, Inc.
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• Specialist in Carson City, NV
• Providers in Carson City, NV by specialty
• Specialist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.