Organization Active NPI

Pain Facility Management LLC

  • Emergency Medicine Physician
  • Marrero, LA
National Provider Identifier
1891018933
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
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

Updated by the provider on Jun 17, 2013

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)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.