Institute for Spinal Pain Treatment

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

INSTITUTE FOR SPINAL PAIN TREATMENT

Practice address

1 Lincoln Parkway
Suite 106
Hattiesburg, MS 39402

Phone

(601) 264-2115

Fax

(601) 264-1519

NPI assigned

Dec 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David L. McKellar, MDNPI 1700947579

Title

Ceo/Medical Director

Phone

(601) 264-2115

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Loflin McKellar, MD

  • Pain Medicine (Anesthesiology) Physician
  • Hattiesburg, MS
  • NPI 1700947579
  NPD Authorized official
• Gaynell Galt Martin, FNP

  • Nurse Practitioner
  • Lagrange, GA
  • NPI 1790284222
  NPD (past)

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1508922865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LINCOLN PARKWAY",
            "address_2": "SUITE 106",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39402",
            "telephone_number": "601-264-2115",
            "fax_number": "601-264-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LINCOLN PARKWAY",
            "address_2": "SUITE 106",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39402",
            "telephone_number": "601-264-2115",
            "fax_number": "601-264-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR SPINAL PAIN TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "MCKELLAR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "601-264-2115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07439015",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Inhome Care Inc
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• Innovative Prosthetics LLC
• Insight Behavioral Health
• Integrated Health & Wellness Solutions
• Interventional Spine & Sports Institute
• Luis A Irizzary, MD
• Latonio Johwayne Irvin
• Olivia Hogan Ismail, LCSW

• Pain Clinic/Center in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Pain Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.