Omni Paim Management Plus, LLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

21410 Issued in LA

Legal business name

OMNI PAIM MANAGEMENT PLUS, LLC

Practice address

700 Gause Blvd Ste 101
Slidell, LA 70458-2852

Phone

(985) 643-3188

Fax

(985) 643-3770

NPI assigned

Aug 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tiffany Miller

Title

Co-Manager

Phone

(985) 643-3188

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811900459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1725",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700631725",
            "telephone_number": "504-469-1960",
            "fax_number": "504-469-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 GAUSE BLVD STE 101",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582852",
            "telephone_number": "985-643-3188",
            "fax_number": "985-643-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI PAIM MANAGEMENT PLUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "CO-MANAGER",
        "authorized_official_telephone_number": "985-643-3188"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "LA",
            "license": "21410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Slidell, LA
• Providers in Slidell, LA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Louisiana

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.