Neuropathy and Pain Centers of America Holding Company, LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

4301100643 Issued in MI

Legal business name

NEUROPATHY AND PAIN CENTERS OF AMERICA HOLDING COMPANY, LLC

Practice address

300 W Washington Ave
Ste. 250
Jackson, MI 49201-2180

Phone

(586) 531-8882

Fax

(517) 676-9788

NPI assigned

Jun 13, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Susan Marie Moore, R.N.

Title

President

Phone

(586) 531-8882

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Robert H. Odell Jr., M.D., PH.D.

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
  • NPI 1013957026
  NPD (past)

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343433600000",
    "number": "1548522774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 DELL RD",
            "address_2": "STE. J",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489118137",
            "telephone_number": "586-531-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W WASHINGTON AVE",
            "address_2": "STE. 250",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012180",
            "telephone_number": "586-531-8882",
            "fax_number": "517-676-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPATHY AND PAIN CENTERS OF AMERICA HOLDING COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-07-28",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-531-8882",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MI",
            "license": "4301100643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Rose Nelson
• Erin Nelson, AT, ATC
• Renee Nelson, LLMSW
• Mariam Madeline Nersesian, LPC
• Theresa Marie Nestorak, RN, ANP-BC
• New Direction Counseling Center, LLC
• New Smiles New Beginnings Inc
• Charles Wyatt Newburry
• Christopher Newell Sr., PA
• Philip Ray Newhouse, RPH

• Interventional Pain Medicine Physician in Jackson, MI
• Providers in Jackson, MI by specialty
• Interventional Pain Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2012; 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.