Eclipse Pain Network, LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

ECLIPSE PAIN NETWORK, LLC

Practice address

226 Uffelman Dr
Clarksville, TN 37043-4974

Phone

(931) 919-2812

Fax

(931) 919-2810

NPI assigned

Nov 13, 2014

Organization subpart

No

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

Authorized official

Name

Dr. John J James, D.O.

Title

D.O.

Phone

(931) 919-2812

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Harry Stone Creekmore, M.D.

  • Plastic Surgery Physician
  • Clarksville, TN
  • NPI 1043259237
  NPD (past)

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1679979959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3930",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370430930",
            "telephone_number": "931-919-2812",
            "fax_number": "931-919-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 UFFELMAN DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434974",
            "telephone_number": "931-919-2812",
            "fax_number": "931-919-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECLIPSE PAIN NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-13",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "D.O.",
        "authorized_official_telephone_number": "931-919-2812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q006043",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haven Miracle-Blaise Eaves
• Marisa Ebersole
• Bethany Eblen
• Sefarrah Dionne Echols, RBT-24-353040
• Elizabeth Louise Eckart
• Andrea L Edelstein, DMD
• Halie Eden
• Teresa Edger
• Danelia Smith Edwards
• Ellie Edwards

• All providers in Clarksville, TN
• Pain Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.