Organization Active NPI

Palmer Pain and Headache LLC

  • Pain Medicine (Anesthesiology) Physician
  • Palmer, AK
National Provider Identifier
1811778442
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
PALMER PAIN AND HEADACHE LLC
Practice address
1901 N Hemmer Rd Ste 111
Palmer, AK 99645-9690
Phone
(907) 745-8000
Fax
(907) 745-8011
NPI assigned
Oct 10, 2023
Last updated
Oct 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
James H. Price, DONPI 1306898705
Title
Owner
Phone
(307) 760-9532

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU Primary

Addresses

Primary practice location

1901 N Hemmer Rd Ste 111
Palmer, AK 99645-9690

Mailing address

1150 S. Colony Way Ste. 3
PMB 111
Palmer, AK 99645
Phone (307) 760-9532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240406000138 AK Part B Supplier - Clinic/Group Practice 1557709722 Receives reassigned benefits from 5 practitioners
Practice locations: Fairbanks, AK; Palmer, AK

National Provider Directory

National Provider Directory

Locations

1867 Airport Way
Ste 130A
Fairbanks, AK 99701
Phone (907) 455-7246

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1811778442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S. COLONY WAY STE. 3",
            "address_2": "PMB 111",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "99645",
            "telephone_number": "307-760-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N HEMMER RD STE 111",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996459690",
            "telephone_number": "907-745-8000",
            "fax_number": "907-745-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMER PAIN AND HEADACHE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-760-9532",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.