Organization Active NPI

Pain Care Innovation LLC

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
National Provider Identifier
1922526755
Registry record updated Sep 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
13914 Issued in NV
Legal business name
PAIN CARE INNOVATION LLC
Practice address
222 Karen Ave Unit 3305
Las Vegas, NV 89109-5308
Phone
(510) 593-6195
NPI assigned
Aug 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2017

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

Authorized official

Name
William Baumgartl, MD
Title
Owner
Phone
(510) 593-6195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X 13914 NV Primary

Addresses

Primary practice location

222 Karen Ave Unit 3305
Las Vegas, NV 89109-5308

Mailing address

1541 Windhaven Cir
Las Vegas, NV 89117-1532

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504569600000",
    "number": "1922526755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 WINDHAVEN CIR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 KAREN AVE UNIT 3305",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891095308",
            "telephone_number": "510-593-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CARE INNOVATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2017-09-05",
        "status": "A",
        "authorized_official_last_name": "BAUMGARTL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-593-6195",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NV",
            "license": "13914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2017; 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.