Semo Pain Center LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

SEMO PAIN CENTER LLC

Practice address

907 E Reed St
Hayti, MO 63851-1242

Phone

(573) 359-3230

NPI assigned

Jan 19, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Muhammad Aslam Khan

Title

Owner

Phone

(573) 359-4321

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1871245167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 W STATE HIGHWAY 84",
            "city": "BRAGG CITY",
            "state": "MO",
            "postal_code": "638279673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 E REED ST",
            "city": "HAYTI",
            "state": "MO",
            "postal_code": "638511242",
            "telephone_number": "573-359-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMO PAIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "ASLAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-359-4321",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Samples
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• Frances Lee Sciortino
• Ronnie Sells
• Semo Drugs of Hayti
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• Shadol LLC
• Noelle Turner Shannon
• Danielle Marie Shaver
• Rosie Shaw

• Pain Medicine Physician in Hayti, MO
• Providers in Hayti, 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 Jan 19, 2022; 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.