Dr Q Pain & Spine Clinic, PA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

DR Q PAIN & SPINE CLINIC, PA

Doing business as

Arkansas Spine and Pain

Practice address

1080 Pats LN
Conway, AR 72032-4754

Phone

(501) 227-0184

Fax

(501) 251-1975

NPI assigned

Nov 30, 2017

Last updated

Jan 23, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

DR. Q PAINA & SPINE, PAAs reported in NPPES

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

Authorized official

Name

Paula Ann Welch

Title

Administrator

Phone

(501) 227-0184

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Arkansas Spine and Pain Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Dr Q Pain & Spine Clinic, PA

  dba ASAP Family Medicine Clinic

  • Family Medicine Physician
  • North Little Rock, AR
  • NPI 1407322605

  O20091120000013

  Same enrollment
• Dr Q Pain & Spine Clinic, PA

  • Physical Medicine & Rehabilitation Physician
  • Little Rock, AR
  • NPI 1477781425

  O20091120000013

  Same enrollment
• Dr Q Pain & Spine Clinic, PA

  dba Arkansas spine and pain

  • Physical Medicine & Rehabilitation Physician
  • Benton, AR
  • NPI 1487168308

  O20091120000013

  Same enrollment
• Dr Q Pain & Spine Clinic, PA

  dba Arkansas spine and pain

  • Physical Medicine & Rehabilitation Physician
  • White Hall, AR
  • NPI 1528572443

  O20091120000013

  Same enrollment
• Dr Q Pain & Spine Clinic, PA

  dba Arkansas Spine and Pain

  • Physical Medicine & Rehabilitation Physician
  • Jacksonville, AR
  • NPI 1649784562

  O20091120000013

  Same enrollment

Part of

Dr Q Pain Spine Clinic PA

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John M Brown, D.O.

  • Family Medicine Physician
  • Little Rock, AR
  • NPI 1720146509
  NPD
• Tatyana Stepanenko, MD

  • Interventional Pain Medicine Physician
  • Naples, FL
  • NPI 1699188011

  Physical Medicine & Rehabilitation

  NPD

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516665600000",
    "number": "1699289512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 W MARKHAM ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053328",
            "telephone_number": "501-227-0184",
            "fax_number": "501-251-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 PATS LN",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324754",
            "telephone_number": "501-227-0184",
            "fax_number": "501-251-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR Q PAIN & SPINE CLINIC, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. Q PAINA & SPINE, PA",
        "enumeration_date": "2017-11-30",
        "last_updated": "2018-01-23",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "501-227-0184"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179747002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arkansas Spine and Pain",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arkansas Spine and Pain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ta'Mya Maria Dotson
• Jodi Gayle Douglass
• Linda Dowd, CMP
• Donna Michelle Dowlearn
• Ashley Dozler
• Dr. Jim Weatherley, D.C., P.a. (Natural State Clinic of Chiropractic)
• Derrel Drayer
• Marissa Leann Dreher
• Anna Drinkwitz, PT
• Summer Druhan

• Physical Medicine & Rehabilitation Physician in Conway, AR
• Providers in Conway, AR by specialty
• Physical Medicine & Rehabilitation Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.

Verify at the official NPI Registry.