Organization Active NPI

Advanced Pain Care and Wellness Center, LLC

  • Pain Medicine Physician
  • Denham Springs, LA
National Provider Identifier
1720372311
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
MD.201475 Issued in LA
Legal business name
ADVANCED PAIN CARE AND WELLNESS CENTER, LLC
Practice address
1234 Del Este Ave
Suite 201
Denham Springs, LA 70726-4828
Phone
(225) 243-5603
NPI assigned
Jun 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Authorized official

Name
Elizabeth Angela Russo-Stringer, MDNPI 1922131754
Title
Owner
Phone
(225) 243-5603

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)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X MD.201475 LA Primary

Addresses

Primary practice location

1234 Del Este Ave
Suite 201
Denham Springs, LA 70726-4828

Mailing address

1234 Del Este Ave
Suite 201
Denham Springs, LA 70726-4828
Phone (225) 243-5603

National Provider Directory

National Provider Directory

Locations

1234 Del Este Ave
Ste 201
Denham Springs, LA 70726
Phone (225) 243-5603

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1720372311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 DEL ESTE AVE",
            "address_2": "SUITE 201",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264828",
            "telephone_number": "225-243-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 DEL ESTE AVE",
            "address_2": "SUITE 201",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264828",
            "telephone_number": "225-243-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PAIN CARE AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-01",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "RUSSO-STRINGER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-243-5603",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "LA",
            "license": "MD.201475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denham Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.