Surgical and Pain Treatment Center of Clarksville

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

SURGICAL AND PAIN TREATMENT CENTER OF CLARKSVILLE

Practice address

2269 Wilma Rudolph Blvd
Suite 102
Clarksville, TN 37040-3179

Phone

(931) 905-1720

Fax

(931) 905-1721

NPI assigned

May 22, 2012

Organization subpart

Yes

Parent organization

SUPERIOR HEALTHCARE, PLLCAs reported in NPPES

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

Authorized official

Name

Dr. Kyle Michael Longo, D.C

Title

Owner

Phone

(931) 905-1720

Specialties & licenses 1

Addresses

Part of

Superior Healthcare

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Superior Healthcare, PLLC

  dba Clarksville Pain Consultants

  • Sports Medicine (Internal Medicine) Physician
  • Clarksville, TN
  • NPI 1386886265
  NPPES parent name

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1861752032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2269 WILMA RUDOLPH BLVD",
            "address_2": "SUITE 102",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370403179",
            "telephone_number": "931-905-1720",
            "fax_number": "931-905-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2269 WILMA RUDOLPH BLVD",
            "address_2": "SUITE 102",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370403179",
            "telephone_number": "931-905-1720",
            "fax_number": "931-905-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL AND PAIN TREATMENT CENTER OF CLARKSVILLE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUPERIOR HEALTHCARE, PLLC",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "LONGO",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-905-1720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunshine State of Mind ABA LLC
• Superior Healthcare, PLLC (Clarksville Pain Consultants)
• Thomas Supulski Jr., LMT
• Cheryl Surace
• Surgery Center of Clarksville LP
• Danna M. Svanberg, APN
• Jamie Renae Swaffer, FNP-C
• Kenyatta Swanson
• Ashli Sweat
• Kimberly Ann Sweck

• Pain Clinic/Center in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Pain Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.