A Pain Clinic of West Palm Beach Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

A PAIN CLINIC OF WEST PALM BEACH INC

Practice address

1325 S Congress Ave
Suite206
Boynton Beach, FL 33426-5876

Phone

(561) 740-7130

Fax

(561) 740-7180

NPI assigned

Jul 30, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Wayne Stowers, RN

Title

Partner

Phone

(561) 740-7130

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568477230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 S CONGRESS AVE",
            "address_2": "SUITE206",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334265876",
            "telephone_number": "561-740-7130",
            "fax_number": "561-740-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S CONGRESS AVE",
            "address_2": "SUITE206",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334265876",
            "telephone_number": "561-740-7130",
            "fax_number": "561-740-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PAIN CLINIC OF WEST PALM BEACH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STOWERS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "561-740-7130",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.