NPIMap

Organization Active NPI

Occupational and Pain Management Professionals, Inc.

  • Pain Medicine (Anesthesiology) Physician
  • Festus, MO
National Provider Identifier
1841568144
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
R7H67 Issued in MO
Legal business name
OCCUPATIONAL AND PAIN MANAGEMENT PROFESSIONALS, INC.
Practice address
1479A U.S. Highway 61
Festus, MO 63028-4123
Phone
(636) 931-5533
Fax
(636) 931-5502
NPI assigned
Dec 1, 2011
Last updated
Feb 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Authorized official

Name
Dr. Anthony Rhone Anderson, M.D.NPI 1679524094
Title
President
Phone
(636) 931-5533

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 R7H67 MO Primary

Addresses

Primary practice location

1479A U.S. Highway 61
Festus, MO 63028-4123

Mailing address

1479A U.S. Highway 61
Festus, MO 63028-4123
Phone (636) 931-5533

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121114000400 MO Part B Supplier - Clinic/Group Practice 7618128901 Receives reassigned benefits from 1 practitioner
Practice locations: Festus, MO

National Provider Directory

National Provider Directory
Tax ID family
Occupational Pain MGMT3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1439 US Highway 61
Ste A
Crystal Cty, MO 63028
Phone (636) 931-7101

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1841568144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1479A U.S. HIGHWAY 61",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284123",
            "telephone_number": "636-931-5533",
            "fax_number": "636-931-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1479A U.S. HIGHWAY 61",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284123",
            "telephone_number": "636-931-5533",
            "fax_number": "636-931-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL AND PAIN MANAGEMENT PROFESSIONALS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "RHONE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-931-5533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MO",
            "license": "R7H67",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Festus, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.