Pain Relief Clinic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

804873 Issued in MO

Legal business name

PAIN RELIEF CLINIC LLC

Practice address

7379 US Highway 61
Jackson, MO 63755-7105

Phone

(573) 388-1546

Fax

(888) 841-9027

NPI assigned

Jan 3, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Kathy A McCuan, D.C.

Title

Member

Phone

(573) 388-1546

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1578867735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7379 US HIGHWAY 61",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637557105",
            "telephone_number": "573-388-1546",
            "fax_number": "888-841-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7379 US HIGHWAY 61",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637557105",
            "telephone_number": "573-388-1546",
            "fax_number": "888-841-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN RELIEF CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "MCCUAN",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "573-388-1546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MO",
            "license": "804873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Franklin Niswonger, AGNP-C
• Candice O'Hare, MS, RD
• Emily Jo Obergoenner, M.A., SLP
• Lori Obermann
• Franklin Jeremy Pace, ATC
• Pappas Chiropractic Health Center, P.C.
• Philip Christ Pappas, DC
• Jake Ryan Partridge, M.S. SLP-CCC
• Patriot Medical Supplies
• Patriot Medical Supplies

• Clinic/Center in Jackson, MO
• Providers in Jackson, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.