The Pain Medicine Consultants Group

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

E-0337 Issued in AR

Legal business name

THE PAIN MEDICINE CONSULTANTS GROUP

Practice address

2425 Dave Ward Dr
Gordy Building Ste 102
Conway, AR 72034-8686

Phone

(501) 764-1150

Fax

(501) 764-1153

NPI assigned

Dec 4, 2014

Organization subpart

No

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

Authorized official

Name

William E Ackerman III, M.D.

Title

Owner

Phone

(501) 217-4000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1871990937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 242807",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722230032",
            "telephone_number": "501-217-4000",
            "fax_number": "501-217-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 DAVE WARD DR",
            "address_2": "GORDY BUILDING STE 102",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348686",
            "telephone_number": "501-764-1150",
            "fax_number": "501-764-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PAIN MEDICINE CONSULTANTS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-04",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "ACKERMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-217-4000",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": "E-0337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Conway, AR
• Providers in Conway, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.