Interventional Pain Consultants, PA

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

E-0476 Issued in AR

Legal business name

INTERVENTIONAL PAIN CONSULTANTS, PA

Practice address

5106 McClanahan Dr
Suite B
North Little Rock, AR 72116-7051

Phone

(501) 539-3383

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Brian Thomas Nichol, M.D.NPI 1134252299

Title

Ceo

Phone

(501) 539-3383

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Tax ID family

Interventional Pain Consultant2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Interventional Pain Consultants, PA

  • Specialist
  • Sherwood, AR
  • NPI 1982672291
  NPD tax ID

Locations

Practitioners 1

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

• Brian Thomas Nichol, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • North Little Rock, AR
  • NPI 1134252299
  NPD (past) Authorized official

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780743732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5106 MCCLANAHAN DR",
            "address_2": "SUITE B",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167051",
            "telephone_number": "501-539-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5106 MCCLANAHAN DR",
            "address_2": "SUITE B",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167051",
            "telephone_number": "501-539-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL PAIN CONSULTANTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NICHOL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "501-539-3383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AR",
            "license": "E-0476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine (Anesthesiology) Physician in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Pain Medicine (Anesthesiology) Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.