Pain Management Center, S.C.

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

PAIN MANAGEMENT CENTER, S.C.

Practice address

108 N Division St
Carterville, IL 62918-1245

Phone

(618) 985-3929

Fax

(618) 985-9576

NPI assigned

Nov 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Babu Prasad, M.D.NPI 1669450573

Title

Physician

Phone

(618) 985-3929

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Practitioners 2

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

• Babu Rajendra Prasad, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Carterville, IL
  • NPI 1669450573
  Medicare reassignment Care Compare group NPD Authorized official
• Cassandra Vestal

  • Nurse Practitioner
  • Carterville, IL
  • NPI 1790346419
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1801077243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N DIVISION ST",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629181245",
            "telephone_number": "618-985-3929",
            "fax_number": "618-985-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N DIVISION ST",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629181245",
            "telephone_number": "618-985-3929",
            "fax_number": "618-985-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT CENTER, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "PRASAD",
        "authorized_official_first_name": "BABU",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "618-985-3929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer U Obasi, MD
• Lisa Oboyle
• Lauren Rachelle Oestmann, LCSW
• Christy Ogden, MS CCC SLP
• Ibrahim Dare Omore, M.D
• Joe Anthony Palmer, R.PH.
• Niyatee Dipak Patel, MD
• Caleb Pennock
• Austin Peppers
• Gail L Peterman, RD

• Pain Clinic/Center in Carterville, IL
• Providers in Carterville, IL by specialty
• Pain Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.