NPIMap

Organization Active NPI

Deschner Medical Services LLC Deboss Neurology & Pain Clinic

  • Pain Clinic/Center
  • Versailles, KY
National Provider Identifier
1568834786
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
TP741 Issued in KY
Legal business name
DESCHNER MEDICAL SERVICES LLC DEBOSS NEUROLOGY & PAIN CLINIC
Practice address
360 Amsden Ave
Specialty Suite
Versailles, KY 40383-1851
Phone
(804) 432-8190
NPI assigned
Oct 27, 2015
Last updated
Nov 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Authorized official

Name
Rebekah Elizabeth McMullen, MBA
Title
Director of Operations
Phone
(702) 979-8856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X TP741 KY Primary

Addresses

Primary practice location

360 Amsden Ave
Specialty Suite
Versailles, KY 40383-1851

Mailing address

360 Amsden Ave
Specialty Suite
Versailles, KY 40383-1851
Phone (804) 432-8190

National Provider Directory

National Provider Directory
Tax ID family
Deschner Medical Services LLC Deboss Neurology Pain Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447027200000",
    "number": "1568834786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 AMSDEN AVE",
            "address_2": "SPECIALTY SUITE",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831851",
            "telephone_number": "804-432-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 AMSDEN AVE",
            "address_2": "SPECIALTY SUITE",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831851",
            "telephone_number": "804-432-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESCHNER MEDICAL SERVICES LLC DEBOSS NEUROLOGY & PAIN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2015-11-09",
        "status": "A",
        "authorized_official_last_name": "MCMULLEN",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "702-979-8856",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "KY",
            "license": "TP741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Versailles, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.