Organization Active NPI

Pain Management Consultants, P.C.

  • Pain Medicine Physician
  • Omaha, NE
National Provider Identifier
1720138472
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
20620 Issued in NE
Legal business name
PAIN MANAGEMENT CONSULTANTS, P.C.
Practice address
11819 Miracle Hills Dr
Suite 202
Omaha, NE 68154-4428
Phone
(402) 445-4800
Fax
(402) 445-4848
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2017

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

Authorized official

Name
Patricia Or Pat J. Chudomelka, M.D., PH.D.
Title
Physician Owner
Phone
(402) 445-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X 20620 NE Primary

Addresses

Primary practice location

11819 Miracle Hills Dr
Suite 202
Omaha, NE 68154-4428

Mailing address

11819 Miracle Hills Dr
Suite 202
Omaha, NE 68154-4428
Phone (402) 445-4800

National Provider Directory

National Provider Directory

Locations

11819 Miracle Hills Dr
Ste 202
Omaha, NE 68154
Phone (402) 445-4800

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493942400000",
    "number": "1720138472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11819 MIRACLE HILLS DR",
            "address_2": "SUITE 202",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544428",
            "telephone_number": "402-445-4800",
            "fax_number": "402-445-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11819 MIRACLE HILLS DR",
            "address_2": "SUITE 202",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544428",
            "telephone_number": "402-445-4800",
            "fax_number": "402-445-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT CONSULTANTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2017-05-05",
        "status": "A",
        "authorized_official_last_name": "CHUDOMELKA",
        "authorized_official_first_name": "PATRICIA OR PAT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "402-445-4800",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NE",
            "license": "20620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.