Active NPI
Pain Clinic of Shelby, PC
- Pain Medicine (Anesthesiology) Physician
- Shelby, NC
National Provider Identifier
1639135387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- PAIN CLINIC OF SHELBY, PC
- Practice address
- 1112 Yancey St
Shelby, NC 28150-3672 - Phone
- (704) 481-0171
- Fax
- (704) 481-0178
- NPI assigned
- Apr 21, 2006
- Last updated
- Mar 29, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Harrison G Frank, MD
- Title
- Owner
- Phone
- (704) 481-0171
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | NU | Primary |
Addresses
Primary practice location
1112 Yancey St
Shelby, NC 28150-3672
Mailing address
1112 Yancey St
Shelby, NC 28150-3672
Phone (704) 481-0171
National Provider Directory
National Provider DirectoryLocations
11711 Statesville Blvd
Cleveland, NC 27013
Phone (704) 209-7493
1112 Yancey St
Shelby, NC 28150
Phone (704) 481-0171
825 S Washington St
Shelby, NC 28150
Phone (704) 481-0171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459209600000",
"number": "1639135387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 YANCEY ST",
"city": "SHELBY",
"state": "NC",
"postal_code": "281503672",
"telephone_number": "704-481-0171",
"fax_number": "704-481-0178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 YANCEY ST",
"city": "SHELBY",
"state": "NC",
"postal_code": "281503672",
"telephone_number": "704-481-0171",
"fax_number": "704-481-0178"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN CLINIC OF SHELBY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-21",
"last_updated": "2016-03-29",
"status": "A",
"authorized_official_last_name": "FRANK",
"authorized_official_first_name": "HARRISON",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-481-0171",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelby, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.