Advanced Pain Management PA

Organization Active NPI Pain Medicine (Anesthesiology) Physician · Independence, MO

NPI 1639413347 · NPPES record last updated Sep 28, 2021

Key facts

NPI
1639413347
Entity type
Organization (NPI type 2)
Primary specialty
Pain Medicine (Anesthesiology) Physician 207LP2900X
Legal business name
ADVANCED PAIN MANAGEMENT PA
Practice address
C/O Centerpoint Medical Center
19550 E 39TH St, Ste 110
Independence, MO 64057-2353
Phone
(816) 698-8900
Fax
(816) 698-8905
NPI assigned
Nov 19, 2012
Organization subpart
No

Authorized official

Name
Shirley Dehardt
Title
Practice Administrator
Phone
(913) 302-2703

Practitioners 1

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

National Provider Directory

Locations

19600 E 39th St S
Ste 110
Independence, MO 64057
Phone (816) 698-8900

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207LP2900X Yes

Addresses

Primary practice location

C/O Centerpoint Medical Center
19550 E 39TH St, Ste 110
Independence, MO 64057-2353

Mailing address

3604 Saddle Ridge
Independence, MO 64057-2332
Phone (913) 302-2703

Other providers in Independence, MO

All providers in Independence, MO · Pain Medicine (Anesthesiology) Physician in Missouri

Sources for this page

Verify at the official NPI Registry.