NPIMap

Organization Active NPI

Louisiana Pain Specialists, LLC

  • Interventional Pain Medicine Physician
  • Metairie, LA
National Provider Identifier
1871823740
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
LOUISIANA PAIN SPECIALISTS, LLC
Practice address
3434 Houma Blvd Ste 301
Metairie, LA 70006-4201
Phone
(504) 754-2334
Fax
(504) 324-2078
NPI assigned
Dec 28, 2009
Last updated
Jan 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Corrie Spano
Title
Billing Director
Phone
(504) 635-2601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

3434 Houma Blvd Ste 301
Metairie, LA 70006-4201

Mailing address

2706 Hessmer Ave Ste a
Metairie, LA 70002-7046
Phone (504) 754-2334

Other identifiers 1

IdentifierTypeStateIssuer
2164040MedicaidLA

Other names 1

  • Southern Pain Relief Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100324000849 LA Part B Supplier - Clinic/Group Practice 8820124217 Receives reassigned benefits from 15 practitioners
Practice locations: Baton Rouge, LA; New Orleans, LA; Metairie, LA; Marrero, LA; La Place, LA; Kenner, LA

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

4580 Bluebonnet Blvd
Ste B
Baton Rouge, LA 70809
Phone (225) 769-3636

4520 Wichers Dr
Ste 204
Marrero, LA 70072

4520 Wichers Dr
Ste 205
Marrero, LA 70072
Phone (504) 371-0676

3549 Prytania St Ste 501
New Orleans, LA 70115

5620 Read Blvd
#6
New Orleans, LA 70127

5620 Read Blvd
Fl 6
New Orleans, LA 70127
Phone (225) 927-0567

5620 Read Blvd
Ste 200
New Orleans, LA 70127
Phone (504) 592-6437

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1871823740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 HESSMER AVE STE A",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700027046",
            "telephone_number": "504-754-2334",
            "fax_number": "504-324-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 HOUMA BLVD STE 301",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064201",
            "telephone_number": "504-754-2334",
            "fax_number": "504-324-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA PAIN SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-28",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "SPANO",
        "authorized_official_first_name": "CORRIE",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "504-635-2601"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2164040",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Pain Relief",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Southern Pain Relief",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.