Organization Active NPI

Comprehensive Pain Consultants, LLC

  • Pain Medicine (Anesthesiology) Physician
  • McMinnville, OR
National Provider Identifier
1699102426
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
MD28743 Issued in OR
Legal business name
COMPREHENSIVE PAIN CONSULTANTS, LLC
Practice address
851 NE Baker St Ste 1
McMinnville, OR 97128-4991
Phone
(503) 474-3847
Fax
(503) 474-4413
NPI assigned
Oct 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Authorized official

Name
Ahmed Ebeid, MD
Title
Owner
Phone
(503) 877-7941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X MD28743 OR Primary

Addresses

Primary practice location

851 NE Baker St Ste 1
McMinnville, OR 97128-4991

Mailing address

851 NE Baker St Ste 1
McMinnville, OR 97128-4991
Phone (503) 474-3847

National Provider Directory

National Provider Directory

Locations

851 NE Baker St
Ste 1
McMinnville, OR 97128
Phone (503) 474-3847

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7888/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1381536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559779200000",
    "number": "1699102426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 NE BAKER ST STE 1",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284991",
            "telephone_number": "503-474-3847",
            "fax_number": "503-474-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 NE BAKER ST STE 1",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284991",
            "telephone_number": "503-474-3847",
            "fax_number": "503-474-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PAIN CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-12",
        "last_updated": "2019-06-06",
        "status": "A",
        "authorized_official_last_name": "EBEID",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-877-7941",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OR",
            "license": "MD28743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; 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.