Physicians Interventional Pain Center LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

PHYSICIANS INTERVENTIONAL PAIN CENTER LLC

Practice address

825 Davis St
#E
Blacksburg, VA 24060-7013

Phone

(540) 953-3300

NPI assigned

Feb 5, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Pamela Willis

Title

Sole Member

Phone

(302) 521-9703

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1831438225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 OLD WILMINGTON RD",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197079305",
            "telephone_number": "302-521-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 DAVIS ST",
            "address_2": "#E",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607013",
            "telephone_number": "540-953-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS INTERVENTIONAL PAIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "302-521-9703",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Phifer
• Phillip Johnson (New River Valley O & P)
• Darian Elizabeth Phillips Fawbush, LPC
• Macaylah Alexis Phillips, PTA
• Physician Wellness, LLC
• Carolyn Pickett, PHD
• Lynn Anne B Piechoski, PA
• Emily Margaret Pierson, PHYSICIAN ASSISTANT
• Ellen Piilonen, LPC
• Kevin Walter Pinder, D.C.

• Interventional Pain Medicine Physician in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Interventional Pain Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.