Organization Active NPI

Advanced Pain Care, PC

  • Specialist
  • Ashland, OR
National Provider Identifier
1902159809
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD18140 Issued in OR
Legal business name
ADVANCED PAIN CARE, PC
Practice address
638 N Main St
Suite a
Ashland, OR 97520-1887
Phone
(541) 482-1712
Fax
(541) 482-1777
NPI assigned
Oct 17, 2012
Last updated
Oct 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Authorized official

Name
Mrs. Mary D Werner
Title
Office Manager
Phone
(541) 482-1712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD18140 OR Primary

Addresses

Primary practice location

638 N Main St
Suite a
Ashland, OR 97520-1887

Mailing address

638 N Main St
Suite a
Ashland, OR 97520-1887
Phone (541) 482-1712

National Provider Directory

National Provider Directory

Locations

638 N Main St
Ste A
Ashland, OR 97520
Phone (541) 482-1712

NPI Registry JSON

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1902159809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 N MAIN ST",
            "address_2": "SUITE A",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201887",
            "telephone_number": "541-482-1712",
            "fax_number": "541-482-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 N MAIN ST",
            "address_2": "SUITE A",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201887",
            "telephone_number": "541-482-1712",
            "fax_number": "541-482-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PAIN CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "WERNER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "541-482-1712",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD18140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.