Pain Doc Anesthesiology PC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

4301060535 Issued in MI

Legal business name

PAIN DOC ANESTHESIOLOGY PC

Practice address

4672 Beckley Rd
Battle Creek, MI 49015-7932

Phone

(269) 580-8011

Fax

(269) 580-8013

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Earl Shaird, MD

Title

Medical Director

Phone

(269) 580-8011

Specialties & licenses 1

Addresses

Other identifiers 4

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.

• Christopher Herrick, CRNA

  • Certified Registered Nurse Anesthetist
  • Kalamazoo, MI
  • NPI 1154396257
  NPD (past)
• Patricia Ann Loudon

  • Certified Registered Nurse Anesthetist
  • Battle Creek, MI
  • NPI 1518993591
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514332800000",
    "number": "1770617938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4672 BECKLEY RD",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490157932",
            "telephone_number": "269-580-8011",
            "fax_number": "269-580-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4672 BECKLEY RD",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490157932",
            "telephone_number": "269-580-8011",
            "fax_number": "269-580-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN DOC ANESTHESIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2017-12-27",
        "status": "A",
        "authorized_official_last_name": "SHAIRD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "269-580-8011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MI",
            "license": "4301060535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "0501316062",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS TRICARE",
            "identifier": "335448249",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "050064125",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3485077",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Elizabeth Owen, CHW
• Dennis B Owens, MA, LPC
• James Douglas Owens
• P&P Home Care Services
• Jacquelyn Nicole Page, CNA
• Gilbert Paivarinta, LMSW
• Nancy Kay Palis, M.D.
• Nathan Allen Pallett, PHARM.D.
• Rachel Catherine Pallett
• Carrie L Palmer, P.A.

• Pain Medicine (Anesthesiology) Physician in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Pain Medicine (Anesthesiology) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.