NPIMap

Organization Active NPI

Pain Care Center, LLC

Doing business as Pain Care Centers

  • Pain Medicine Physician
  • Sheridan, WY
National Provider Identifier
1548020746
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
PAIN CARE CENTER, LLC
Doing business as
Pain Care Centers
Practice address
800 Coffeen Ave Ste B
Sheridan, WY 82801-5352
Phone
(307) 212-6270
Fax
(307) 212-6271
NPI assigned
Mar 22, 2024
Last updated
Mar 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Authorized official

Name
Randal Chet Ruger
Title
Managing Partner
Phone
(307) 267-2116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

800 Coffeen Ave Ste B
Sheridan, WY 82801-5352

Mailing address

2620 Commercial Way Ste 20
Rock Springs, WY 82901-4705
Phone (307) 212-6270

Other names 1

  • Pain Care Centers Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
53D2301273Pain Care Center LLC800 Coffeen Ave, Suite B, Sheridan, WY 82801Certificate of waiverMar 21, 2028

National Provider Directory

National Provider Directory

Locations

4136 Laramie St
Unit A
Cheyenne, WY 82001
Phone (307) 633-8100

1909 Vista Dr
Bldg C
Laramie, WY 82070

1208 Hilltop Dr
Ste 101
Rock Springs, WY 82901

1575 Dewar Dr
Ste 430
Rock Springs, WY 82901
Phone (520) 404-6477

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1548020746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 COMMERCIAL WAY STE 20",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014705",
            "telephone_number": "307-212-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 COFFEEN AVE STE B",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015352",
            "telephone_number": "307-212-6270",
            "fax_number": "307-212-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "RUGER",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_middle_name": "CHET",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "307-267-2116"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain Care Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.