Pain Care Northwest, LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

035144 Issued in CT

Legal business name

PAIN CARE NORTHWEST, LLC

Practice address

142 Hazard Ave
Enfield, CT 06082-4520

Phone

(860) 496-7268

Fax

(860) 379-4717

NPI assigned

Sep 28, 2010

Last updated

Sep 28, 2010By 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

Dr. Eugene R Lucier, MD

Title

Owner

Phone

(860) 496-7268

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1609185412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 971",
            "city": "WINSTED",
            "state": "CT",
            "postal_code": "060980971",
            "telephone_number": "860-496-7268",
            "fax_number": "860-379-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 HAZARD AVE",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824520",
            "telephone_number": "860-496-7268",
            "fax_number": "860-379-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CARE NORTHWEST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "LUCIER",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-496-7268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CT",
            "license": "035144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lena Pacheco
• Thomas Francis Padrevita, PHARMD
• Marilynne Pagani
• Jessica R Page
• Laiken Page
• Ana Palacios
• Panacea Physical Therapy LLC
• Hemant K Panchal, M.D.
• Theodore James Pappas, DDS
• Alicia Pare, APRN

• Pain Medicine Physician in Enfield, CT
• Providers in Enfield, CT by specialty
• Pain Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.