NPIMap

Organization Active NPI

Interventional Center for Pain

Doing business as center for interventional pain management

  • Specialist
  • Saint Louis, MO
National Provider Identifier
1508067208
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
INTERVENTIONAL CENTER FOR PAIN
Doing business as
center for interventional pain management
Practice address
5203 Chippewa St
Suite 301
Saint Louis, MO 63109-2356
Phone
(314) 481-5000
Fax
(314) 481-3037
NPI assigned
May 30, 2007
Last updated
Jan 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Authorized official

Name
Dr. Gurpreet Singh Padda, MDNPI 1427035955
Title
Anesthesiology
Phone
(314) 481-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

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

Mailing address

5203 Chippewa St
Suite 301
Saint Louis, MO 63109-2356
Phone (314) 481-5000

Other identifiers 7

IdentifierTypeStateIssuer
118505OtherMOGHP
CJ6421OtherMOMEDICARE RAILROAD
175746OtherMOHEALTH LINK
2001272OtherMOUHC
4647144OtherMOAETNA
7200000096OtherMOMEDICARE RAILROAD
149848OtherMOBLUE CROSS BLE SHILED

Other names 1

  • center for interventional pain management Doing business as

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

Dept CH 17235
Palatine, IL 60055

505 Buckeye Dr
Troy, IL 62294
Phone (618) 274-0000

505 Buckeye Dr
Ste 201
Troy, IL 62294
Phone (618) 274-0000

4144 Lindell Blvd
Ste 226
Saint Louis, MO 63108
Phone (314) 348-0008

Practitioners & affiliated clinicians

Practitioners 9

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": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1508067208",
    "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": "2007-05-30",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "PADDA",
        "authorized_official_first_name": "GURPREET",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "ANESTHESIOLOGY",
        "authorized_official_telephone_number": "314-481-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "118505",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CJ6421",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH LINK",
            "identifier": "175746",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "2001272",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4647144",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "7200000096",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLE SHILED",
            "identifier": "149848",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "center for interventional pain management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.