Regen Ortho Spine & Pain LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

REGEN ORTHO SPINE & PAIN LLC

Practice address

407 Meramec Blvd
Eureka, MO 63025-3803

Phone

(636) 333-3700

Fax

(636) 333-3701

NPI assigned

Feb 2, 2020

Last updated

Jan 13, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Savitha Kunhiraman

Title

Office Manager

Phone

(636) 333-9723

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1580601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1730710369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 MERAMEC BLVD",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630253803",
            "telephone_number": "636-333-3700",
            "fax_number": "636-333-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 MERAMEC BLVD",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630253803",
            "telephone_number": "636-333-3700",
            "fax_number": "636-333-3701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "54 The Legends Pkwy Ste 153",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "MO",
            "postal_code": "630253803",
            "country_code": "US",
            "telephone_number": "636-333-3700",
            "fax_number": "636-333-3701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Business Park Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MO",
            "postal_code": "633792828",
            "country_code": "US",
            "telephone_number": "363-333-9723",
            "fax_number": "636-775-1544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REGEN ORTHO SPINE & PAIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-02",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "KUNHIRAMAN",
        "authorized_official_first_name": "SAVITHA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "636-333-9723"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Interventional Pain Medicine Physician in Eureka, MO
• Providers in Eureka, MO by specialty
• Interventional Pain Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.