NPIMap

Organization Active NPI

Center for Wellness and Pain Care of Las Vegas Inc

  • Pain Medicine (Anesthesiology) Physician
  • Everett, WA
National Provider Identifier
1992281869
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
CENTER FOR WELLNESS AND PAIN CARE OF LAS VEGAS INC
Practice address
3426 Broadway Ste 101
Everett, WA 98201-5098
Phone
(702) 476-9700
NPI assigned
Jul 13, 2018
Organization subpart
Yes
Parent organization
CENTER FOR WELLNESS AND PAIN CARE OF LAS VEGAS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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

Authorized official

Name
Neville CampbellNPI 1487881249
Title
Founder/Medical Director
Phone
(702) 476-9700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

3426 Broadway Ste 101
Everett, WA 98201-5098

Mailing address

311 N Buffalo Dr Ste a
Las Vegas, NV 89145-0375

National Provider Directory

National Provider Directory
Tax ID family
Center for Wellness and Pain Care of Las Vegas Inc5 organizations share this tax ID, including this one
Part of
Center for Wellness and Pain Care of Las Vegas Inc

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

311 N Buffalo Dr
Ste A
Las Vegas, NV 89145
Phone (702) 476-9700

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": "1531440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531440000000",
    "number": "1992281869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N BUFFALO DR STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891450375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3426 BROADWAY STE 101",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982015098",
            "telephone_number": "702-476-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR WELLNESS AND PAIN CARE OF LAS VEGAS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER FOR WELLNESS AND PAIN CARE OF LAS VEGAS INC",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "NEVILLE",
        "authorized_official_title_or_position": "FOUNDER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "702-476-9700"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.