Progressive Pain Management PC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

PROGRESSIVE PAIN MANAGEMENT PC

Practice address

1145B E Gannon Dr
Festus, MO 63028-2611

Phone

(636) 933-7673

Fax

(636) 937-5001

NPI assigned

Oct 2, 2007

Organization subpart

No

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

Authorized official

Name

Nehalkumar Paresh Modh, MD

Title

President

Phone

(636) 933-7673

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1861689093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1125",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630430125",
            "telephone_number": "314-432-2580",
            "fax_number": "314-432-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145B E GANNON DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282611",
            "telephone_number": "636-933-7673",
            "fax_number": "636-937-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE PAIN MANAGEMENT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "MODH",
        "authorized_official_first_name": "NEHALKUMAR",
        "authorized_official_middle_name": "PARESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-933-7673",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen E Prendergast
• Taylor Ellen Prince, PHARMD
• Proaction Health, LLC
• Professional Prescription Services LLC
• Professional Prescription Services LLC
• Prorehab, PC
• Prosthetic and Orthotic Care LLC
• Provider Plus LLC
• Keri L Pruneau, APRN-CNP, RN
• Lisa Puckett

• Pain Medicine Physician in Festus, MO
• Providers in Festus, MO by specialty
• Pain Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.