Pain Matters Wellness Center LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA1736 Issued in NV

Legal business name

PAIN MATTERS WELLNESS CENTER LLC

Practice address

5235 S Durango Dr Ste 2
Las Vegas, NV 89113-0197

Phone

(702) 600-7391

NPI assigned

Jul 24, 2017

Organization subpart

No

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

Authorized official

Name

Mark Ernst, PANPI 1467404426

Title

Physician Assistant/Owner

Phone

(702) 600-7391

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Ernst, P.A.

  • Surgical Physician Assistant
  • El Paso, TX
  • NPI 1467404426

  NV

  Medicare reassignment Authorized official
• Nathan Bell, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1396396529
  Medicare reassignment

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500854400000",
    "number": "1760905541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8235 CANYON TREE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891134508",
            "telephone_number": "702-600-7391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5235 S DURANGO DR STE 2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891130197",
            "telephone_number": "702-600-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MATTERS WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-24",
        "last_updated": "2017-07-24",
        "status": "A",
        "authorized_official_last_name": "ERNST",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT/OWNER",
        "authorized_official_telephone_number": "702-600-7391",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pain & Injury Chiropractic Center PLLC
• Pain Care Innovation LLC
• Pain Clinic White PC
• Pain Institute of Nevada, Inc.
• Pain Management Depot Inc
• Connie Mae Painagan
• Painted Mirage Surgery Center, LLC
• Eduardo Delarosa Pais III, DMD
• Normita Paiz
• Pajara Care Clinic, PC

• Physician Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2017; 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.