NPIMap

Organization Active NPI

Ut Center for Pain Management and Research, Inc

  • Pain Medicine Physician
  • Provo, UT
National Provider Identifier
1902805948
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
43731 Issued in UT
Legal business name
UT CENTER FOR PAIN MANAGEMENT AND RESEARCH, INC
Doing business as
NEXUS PAIN CARE
Practice address
3585 N University Ave Ste 150
Provo, UT 84604-6630
Phone
(801) 356-6100
Fax
(801) 356-2113
NPI assigned
Jul 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Authorized official

Name
Richard M Rosenthal, M.D.
Title
Medical Director
Phone
(801) 356-6100

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 43731 UT
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 43731 UT
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X 43731 UT Primary

Addresses

Primary practice location

3585 N University Ave Ste 150
Provo, UT 84604-6630

Mailing address

3585 N University Ave Ste 150
Provo, UT 84604-6630
Phone (801) 356-6100

Other names 1

  • NEXUS PAIN CARE Doing business as

National Provider Directory

National Provider Directory

Locations

3585 N University Ave
Ste 150
Provo, UT 84604
Phone (801) 356-6100

1951 W 4700 S
Ste 2
Taylorsville, UT 84129
Phone (801) 878-8356

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1902805948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3585 N UNIVERSITY AVE STE 150",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046630",
            "telephone_number": "801-356-6100",
            "fax_number": "801-356-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 N UNIVERSITY AVE STE 150",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046630",
            "telephone_number": "801-356-6100",
            "fax_number": "801-356-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UT CENTER FOR PAIN MANAGEMENT AND RESEARCH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "ROSENTHAL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "801-356-6100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "UT",
            "license": "43731",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "UT",
            "license": "43731",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "UT",
            "license": "43731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEXUS PAIN CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.