Premier Pain Care & Wellness Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

PREMIER PAIN CARE & WELLNESS INC

Practice address

40 Cross St Ste 301
Norwalk, CT 06851-4647

Phone

(203) 956-0022

Fax

(203) 956-0024

NPI assigned

Nov 19, 2019

Organization subpart

No

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

Authorized official

Name

Gendai Echezona, MDNPI 1871737718

Title

Provider

Phone

(914) 469-7877

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19973/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Gendai Echezona, MD

  • Pain Medicine (Anesthesiology) Physician
  • Norwalk, CT
  • NPI 1871737718
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591920000000",
    "number": "1619513157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CROSS ST STE 301",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CROSS ST STE 301",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514647",
            "telephone_number": "203-956-0022",
            "fax_number": "203-956-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PAIN CARE & WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A",
        "authorized_official_last_name": "ECHEZONA",
        "authorized_official_first_name": "GENDAI",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "914-469-7877",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Power, M.CL.SC SLP(C)
• Kerry Prager-Nicholas, LCSW
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• Precision Dental Care, LLC
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• Premier Physical Therapy and Wellness PC
• Presto Dental PLLC
• Susan E Pritchard Downie, M.S.
• Professional Dental Alliance of Norwalk, PLLC
• Professional Dental Alliance of Norwalk, PLLC

• Anesthesiology Physician in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Anesthesiology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.