Organization Active NPI

First Pain Care, LLC

  • Pain Clinic/Center
  • Wauwatosa, WI
National Provider Identifier
1780951871
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
FIRST PAIN CARE, LLC
Practice address
11501 W North Ave
Wauwatosa, WI 53226-2127
Phone
(414) 737-9070
NPI assigned
Nov 17, 2011
Last updated
Nov 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Authorized official

Name
Mary Virginia McCullough, BSN, RN
Title
Director
Phone
(414) 737-9070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

11501 W North Ave
Wauwatosa, WI 53226-2127

Mailing address

11501 W North Ave
Wauwatosa, WI 53226-2127

National Provider Directory

National Provider Directory

Locations

11501 W North Ave
Wauwatosa, WI 53226
Phone (414) 737-9070

NPI Registry JSON

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1780951871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11501 W NORTH AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11501 W NORTH AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262127",
            "telephone_number": "414-737-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST PAIN CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "VIRGINIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "414-737-9070",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.