Active NPI
Louisiana Pain Specialists LLC
- Interventional Pain Medicine Physician
- Marrero, LA
National Provider Identifier
1891507554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- LOUISIANA PAIN SPECIALISTS LLC
- Practice address
- 4520 Wichers Dr Ste 205
Marrero, LA 70072-3134 - Phone
- (504) 754-2334
- NPI assigned
- Jan 21, 2025
- Last updated
- Jan 21, 2025
- 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
- Corrie Spano
- Title
- Billing Director
- Phone
- (504) 635-2601
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
4520 Wichers Dr Ste 205
Marrero, LA 70072-3134
Mailing address
2706 Hessmer Ave Ste a
Metairie, LA 70002-7046
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250319001433 | LA | DME Supplier - Physician - Interventional Pain Management | 8820124217 | Practice locations: Marrero, LA |
Other NPIs with the same Medicare PAC ID 6
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Interventional Pain Medicine Physician
- Baton Rouge, LA
- NPI 1093527764
8820124217
-
- Interventional Pain Medicine Physician
- Kenner, LA
- NPI 1245623354
8820124217
-
- Interventional Pain Medicine Physician
- New Orleans, LA
- NPI 1770395444
8820124217
-
- Interventional Pain Medicine Physician
- Metairie, LA
- NPI 1801608583
8820124217
-
- Interventional Pain Medicine Physician
- Metairie, LA
- NPI 1871823740
8820124217
-
- Interventional Pain Medicine Physician
- New Orleans, LA
- NPI 1922810696
8820124217
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2006042 | Louisiana Pain Specialists - Marrero | Certificate of waiver | Apr 8, 2028 |
National Provider Directory
National Provider DirectoryLocations
4520 Wichers Dr
Ste 205
Marrero, LA 70072
Phone (504) 459-4070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737417600000",
"number": "1891507554",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4520 WICHERS DR STE 205",
"city": "MARRERO",
"state": "LA",
"postal_code": "700723134",
"telephone_number": "504-754-2334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOUISIANA PAIN SPECIALISTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-21",
"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": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marrero, LA
- Roshon Shantell Lloyd
- LMG, LLC
- Craig Long, PTA
- Eric Arthur Lorio, MD
- Louisiana CVS Pharmacy LLC (CVS Pharmacy #11427)
- Louisiana State University School of Medicine in New Orleans Faculty G (LSU Healthcare Network)
- William Herman Luer, MD
- Peter William Lundberg, M.D.
- Ma'Shy's Staffing Solutions
- Lane Taylor Macdougall, DPT
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.
- 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.