Active NPI
Pain Facility Management LLC
- Emergency Medicine Physician
- Marrero, LA
National Provider Identifier
1891018933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- PAIN FACILITY MANAGEMENT LLC
- Practice address
- 1849 Barataria Blvd
Marrero, LA 70072-4203 - Phone
- (504) 207-7555
- Fax
- (504) 207-7556
- NPI assigned
- Mar 3, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Rene Joseph Mire
- Title
- Cfo
- Phone
- (504) 887-7207
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary | ||
| Physical Medicine & Rehabilitation Physician | 208100000X |
Addresses
Primary practice location
1849 Barataria Blvd
Marrero, LA 70072-4203
Mailing address
3348 W Esplanade Ave S
Suite a
Metairie, LA 70002-3475
Phone (504) 887-7207
Other names 1
- Industrial Medicine Specialists
National Provider Directory
National Provider DirectoryLocations
1849 Barataria Blvd
Marrero, LA 70072
Phone (504) 207-7555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1371427200000",
"number": "1891018933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3348 W ESPLANADE AVE S",
"address_2": "SUITE A",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700023475",
"telephone_number": "504-887-7207",
"fax_number": "504-889-1868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1849 BARATARIA BLVD",
"city": "MARRERO",
"state": "LA",
"postal_code": "700724203",
"telephone_number": "504-207-7555",
"fax_number": "504-207-7556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN FACILITY MANAGEMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-03",
"last_updated": "2013-06-17",
"status": "A",
"authorized_official_last_name": "MIRE",
"authorized_official_first_name": "RENE",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "504-887-7207",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Industrial Medicine Specialists",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marrero, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.