Organization Active NPI

Pca Pain Care Center of Murfreesboro, PLLC

Doing business as PCA Pain Care Center

  • Pain Medicine (Anesthesiology) Physician
  • Murfreesboro, TN
National Provider Identifier
1912281379
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
PCA PAIN CARE CENTER OF MURFREESBORO, PLLC
Doing business as
PCA Pain Care Center
Practice address
1608 Williams Drive
101B
Murfreesboro, TN 37129-0558
Phone
(615) 739-6745
Fax
(615) 891-3492
NPI assigned
Oct 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Authorized official

Name
Ray Stroup, MD
Title
Franchisee
Phone
(800) 909-9220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

1608 Williams Drive
101B
Murfreesboro, TN 37129-0558

Mailing address

1608 Williams Drive
101B
Murfreesboro, TN 37129-0558
Phone (615) 739-6745

Other names 1

  • PCA Pain Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

1608 Williams Dr
Ste 101B
Murfreesboro, TN 37129
Phone (615) 739-6745

1608 Williams Dr
#101B
Murfreesboro, TN 37129
Phone (615) 739-6745

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1912281379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 WILLIAMS DRIVE",
            "address_2": "101B",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371290558",
            "telephone_number": "615-739-6745",
            "fax_number": "615-891-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 WILLIAMS DRIVE",
            "address_2": "101B",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371290558",
            "telephone_number": "615-739-6745",
            "fax_number": "615-891-3492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCA PAIN CARE CENTER OF MURFREESBORO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "STROUP",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "FRANCHISEE",
        "authorized_official_telephone_number": "800-909-9220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PCA Pain Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.