Active NPI
Pain Management Physicians, LLC
- Pain Medicine (Anesthesiology) Physician
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- PAIN MANAGEMENT PHYSICIANS, LLC
- Practice address
- 1601 E Broadway
Lower Level
Columbia, MO 65201 - Phone
- (573) 815-2700
- Fax
- (573) 815-3693
- NPI assigned
- Jun 9, 2006
- 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
- Steven Street, DO
- Title
- Partner
- Phone
- (573) 815-2700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
1601 E Broadway
Lower Level
Columbia, MO 65201
Mailing address
PO Box 7096
Stockton, CA 95267
Phone (209) 956-7725
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 501869903 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1502 E Broadway
Ste 106
Columbia, MO 65201
Phone (573) 443-4511
1506 E Broadway
Ste 302
Columbia, MO 65201
Phone (573) 449-1207
1601 E Broadway
Lowr
Columbia, MO 65201
Phone (573) 815-2700
3259 E Sunshine St
Ste Aa
Springfield, MO 65804
Phone (417) 416-4114
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Columbia, MO
- NPI 1548296395
-
- Pain Medicine (Anesthesiology) Physician
- Columbia, MO
- NPI 1912990805
-
- Interventional Pain Medicine Physician
- Columbia, MO
- NPI 1316982333
-
- Reproductive Endocrinology Physician
- Columbia, MO
- NPI 1386679298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331769600000",
"number": "1679514087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7096",
"city": "STOCKTON",
"state": "CA",
"postal_code": "95267",
"telephone_number": "209-956-7725",
"fax_number": "209-956-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 E BROADWAY",
"address_2": "LOWER LEVEL",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "65201",
"telephone_number": "573-815-2700",
"fax_number": "573-815-3693"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN MANAGEMENT PHYSICIANS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-09",
"last_updated": "2012-03-15",
"status": "A",
"authorized_official_last_name": "STREET",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "573-815-2700",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "501869903",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.