Pain Medicine Specialists of Arkansas PA

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

PAIN MEDICINE SPECIALISTS OF ARKANSAS PA

Practice address

1225 Breckenridge Dr Ste 106
Little Rock, AR 72205-1565

Phone

(501) 451-2500

Fax

(479) 968-1673

NPI assigned

Jun 27, 2022

Organization subpart

No

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

Authorized official

Name

Julio Olaya, MDNPI 1285724757

Title

Owner

Phone

(501) 231-0182

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Julio R Olaya, M.D.

  • Pain Medicine Physician
  • Little Rock, AR
  • NPI 1285724757
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1831821040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9178",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728119178",
            "telephone_number": "800-824-4094",
            "fax_number": "479-968-1673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 BRECKENRIDGE DR STE 106",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722051565",
            "telephone_number": "501-451-2500",
            "fax_number": "479-968-1673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MEDICINE SPECIALISTS OF ARKANSAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "OLAYA",
        "authorized_official_first_name": "JULIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-231-0182",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendall Pahls, M.D.
• Balakrishna Pai, MD
• Ayanna Paige
• Pain Care Associates P a
• Pain Medicine Consultants Group
• Pain Relief Chiropractic
• Pain Treatment Centers of America
• Pain Treatment Centers of America PLLC
• Pain Treatment Centers of America PLLC
• Pain Treatment Centers of America, PLLC

• Pain Medicine Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Pain Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.