Downtown Pain Management Clinic, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

4301089175 Issued in MO

Legal business name

DOWNTOWN PAIN MANAGEMENT CLINIC, LLC

Practice address

703 Olive St
Suite 211
Saint Louis, MO 63101-2202

Phone

(314) 588-8511

NPI assigned

Jan 28, 2009

Organization subpart

No

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

Authorized official

Name

Mitchell Liberman

Title

Owner

Phone

(314) 588-8511

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Qasim Mustafa Bajwa, MD

  • Diagnostic Radiology Physician
  • Sikeston, MO
  • NPI 1578548517
  NPD (past)
• Kyle Joseph Fritz, M.D.

  • Internal Medicine Physician
  • Springfield, MO
  • NPI 1407954779
  NPD (past)

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1598903585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 OLIVE ST",
            "address_2": "SUITE 211",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631012202",
            "telephone_number": "314-588-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 OLIVE ST",
            "address_2": "SUITE 211",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631012202",
            "telephone_number": "314-588-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN PAIN MANAGEMENT CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "LIBERMAN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-588-8511"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "4301089175",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "4301089175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert P Downing, DO
• Ashley Kathryn Downs, RDN
• Maureen A Downs, LMSW
• Downtown Clinic of Optometry, Inc
• Downtown Medical LLC
• Latrice L Dowtin, PH.D., LCPC, NCSP
• Ryan Everett Doyel, MD
• John Thomas Doyle, DDS
• Joshua William Doyle, PLPC
• Kevin Lawrence Doyle, MSW, LCSW

• Physical Medicine & Rehabilitation Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Physical Medicine & Rehabilitation Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.