Organization Active NPI

Stat Care Pain Management, LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Monroe, LA
National Provider Identifier
1558475806
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
077368 Issued in LA
Legal business name
STAT CARE PAIN MANAGEMENT, LLC
Practice address
807 Stubb St.
Suite 1
Monroe, LA 71201
Phone
(318) 387-1059
Fax
(318) 387-1093
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tiffany Miller
Title
Co Manager
Phone
(318) 387-1059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X 077368 LA Primary

Addresses

Primary practice location

807 Stubb St.
Suite 1
Monroe, LA 71201

Mailing address

PO Box 1725
Kenner, LA 70063-1725
Phone (504) 469-1960

National Provider Directory

National Provider Directory

Locations

807 Stubbs Ave
Ste 1
Monroe, LA 71201
Phone (318) 387-1059

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558475806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1725",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700631725",
            "telephone_number": "504-469-1960",
            "fax_number": "504-469-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 STUBB ST.",
            "address_2": "SUITE 1",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71201",
            "telephone_number": "318-387-1059",
            "fax_number": "318-387-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT CARE PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "CO MANAGER",
        "authorized_official_telephone_number": "318-387-1059"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "LA",
            "license": "077368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.