Pro Pain LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

PRO PAIN LLC

Practice address

114 Piper Hill Dr Ste 201
Saint Peters, MO 63376-1661

Phone

(636) 442-5035

NPI assigned

Sep 12, 2024

Last updated

Sep 12, 2024By 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

Chad Conrad Shelton, MDNPI 1194758938

Title

Owner

Phone

(636) 442-5035

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Chad Conrad Shelton, MD

  • Pain Medicine (Anesthesiology) Physician
  • Saint Peters, MO
  • NPI 1194758938
  Authorized official Same address or phone

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1841026028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 PIPER HILL DR STE 103",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 PIPER HILL DR STE 201",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761661",
            "telephone_number": "636-442-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO PAIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "CONRAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-442-5035",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Home Health Agency LLC
• Professional Physician Pain Services, LLC
• Professional Physicians Pain Services, LLC (Professional Pain Physicians)
• Prorehab, PC (Athletico Physical Therapy)

• Interventional Pain Medicine Physician in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Interventional Pain Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.