Organization Active NPI

Pain Clinic of Shelby, PC

  • Pain Medicine (Anesthesiology) Physician
  • Shelby, NC
National Provider Identifier
1639135387
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.