Kearney Pain Treatment Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

KEARNEY PAIN TREATMENT CENTER, LLC

Practice address

920 E 56TH St
Suite D
Kearney, NE 68847-8628

Phone

(308) 236-7470

NPI assigned

May 24, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Darian D Pike

Title

Administrator

Phone

(083) 455-3091

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Listed as

Kearney Pain Treatment Center LLCCCN 28C0001057

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alyssa Bengtson, PA

  • Physician Assistant
  • Grand Island, NE
  • NPI 1891222691
  NPD (past)
• Connor Evan Bliss, PA-C

  • Physician Assistant
  • Kearney, NE
  • NPI 1851917181
  NPD (past)
• David Wayne Farrar, PA-C

  • Physician Assistant
  • Ord, NE
  • NPI 1003006958
  NPD (past)
• Christina Marie Knispel, APRN

  • Family Nurse Practitioner
  • Kearney, NE
  • NPI 1508129370
  NPD (past)
• Burt John McKeag, MD

  • Anesthesiology Physician
  • Kearney, NE
  • NPI 1376651729
  NPD (past)
• J Paul Meyer, MD

  • Pain Medicine (Anesthesiology) Physician
  • Grand Island, NE
  • NPI 1386630283
  NPD (past)
• Anne M Roberts, P.A.

  • Physician Assistant
  • Grand Island, NE
  • NPI 1548413164
  NPD (past)
• Bradley Gene Singer, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Grand Island, NE
  • NPI 1407054711
  NPD (past)
• Sheila M Williams, PA-C

  • Physician Assistant
  • Kearney, NE
  • NPI 1710126206
  NPD (past)

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1881031235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 E 56TH ST",
            "address_2": "SUITE D",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688478628",
            "telephone_number": "308-236-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 E 56TH ST",
            "address_2": "SUITE D",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688478628",
            "telephone_number": "308-236-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEARNEY PAIN TREATMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-24",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "PIKE",
        "authorized_official_first_name": "DARIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "083-455-3091",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kearney Neuropsychological Services, PC
• Kearney Pediatric Dentistry, L.L.C.
• Kearney Public Schools
• Kearney Regional Medical Center
• Kearney Regional Medical Center LLC
• Kearney Regional Medical Center LLC

• Ambulatory Surgical Clinic/Center in Kearney, NE
• Providers in Kearney, NE by specialty
• Ambulatory Surgical Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.