INTERVENTIONAL PAIN SPECIALISTS OF NEW MEXICO, P.A. (NPI# 1427104157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427104157 |
| Entity Type | Organization |
| Organization Name | INTERVENTIONAL PAIN SPECIALISTS OF NEW MEXICO, P.A. |
| Practice Address |
4824 Mcmahon Blvd Nw Suite 119 Albuquerque NM 87114-5412 |
| Practice Telephone | 5058981595 |
| Mailing Telephone | 5058981595 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CHARLES F. PACE (PRESIDENT) |
| Authorized Official Telephone | 5058981595 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
2000-259 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | BLUE CROSS BLUE SHIELD | NM009L89 | 01 |
| NM | 61727369 | 05 |
| Street Address |
4824 MCMAHON BLVD NW SUITE 119 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87114-5412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689670101 | New Mexico Physical Therapists Inc | Clinic/Center | 4824 Mcmahon Blvd Nw, Ste 101, Albuquerque, NM 87114-5412 | 2005-06-21 |
| 1710398599 | Manu Bharti | Dentist | 4824 Mcmahon Blvd Nw, # 119, Albuquerque, NM 87114-5412 | 2014-05-14 |
| 1073817441 | Larry Eugene Day | Massage Therapist | 4824 Mcmahon Blvd Nw, Suite 113, Albuquerque, NM 87114-5412 | 2010-12-28 |
| 1275771081 | Lauren Schneider Degory | Physical Therapist | 4824 Mcmahon Blvd Nw, Ste 101, Albuquerque, NM 87114-5412 | 2009-02-02 |
| 1477790327 | Ben Muneta | Family Medicine | 4824 Mcmahon Blvd Nw, Suite 115, Albuquerque, NM 87114-5412 | 2009-01-14 |
| 1700037678 | Corazon Family Health | Preferred Provider Organization | 4824 Mcmahon Blvd Nw, Suite 115, Albuquerque, NM 87114-5412 | 2008-10-09 |
| 1942360581 | Stephen J Erickson | Family Medicine | 4824 Mcmahon Blvd Nw, Suite 115, Albuquerque, NM 87114-5412 | 2006-12-12 |
| 1922190040 | Charles F Pace | Pain Medicine | 4824 Mcmahon Blvd Nw, Suite 119, Albuquerque, NM 87114-5412 | 2006-09-28 |
| 1588611388 | Bethany Sue Balzis | Physical Therapist | 4824 Mcmahon Blvd Nw, Suite 101, Albuquerque, NM 87114-5412 | 2006-05-27 |
| 1528025467 | Karen Lynnette Browning | Physical Therapist | 4824 Mcmahon Blvd Nw, Suite 101, Albuquerque, NM 87114-5412 | 2006-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891331773 | Head To Toe Wellness, LLC | Counselor | 4619 Greene Ave, Suite D, Albuquerque, NM 87114 | 2019-11-26 |
| 1255896353 | 32 Degrees Genuine, LLC | Counselor | 10143 4th St Nw, Albuquerque, NM 87114 | 2019-02-04 |
| 1548789365 | Maureen Chavez | Occupational Therapist | 10501 Golf Course, Albuquerque, NM 87114 | 2017-09-13 |
| 1982149043 | Professional Case Coordination Services LLC | Case Management | 4401 Aspen Glade Dr Nw, Albuquerque, NM 87114 | 2016-12-28 |
| 1124494323 | Geri Davis | Nurse Practitioner | 10511 Golf Course Rd Nw Ste 203, Albuquerque, NM 87114 | 2015-08-11 |
| 1427432111 | Marcia Nicole Cowen | Nurse Practitioner | 9210 Golfcourse Rd Nw, Albuquerque, NM 87114 | 2015-07-13 |
| 1013315399 | Amy Brown | Counselor | 707 Broadway Blvd. Ne, Suite 500, Albuquerque, NM 87114 | 2014-12-18 |
| 1851793392 | Elaine Barbara Beckett | Pharmacist | 10224 Coors-by-pass Nw, Albuquerque, NM 87114 | 2014-09-16 |
| 1174924344 | Sherrica Cressor | Counselor | 20 Pond Road, County Road 11, Cuba, NM 87114 | 2014-09-08 |
| 1427467513 | Colleen Temkin | Pharmacist | 10224 Coors By Pass Nw, Albuquerque, NM 87114 | 2014-08-04 |
| Find all providers in zip 87114 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104086859 | Brian Starr | Pain Medicine | 900 Camino De Salud, Albuquerque, NM 87131-0001 | 2008-06-16 |
| 1891903753 | Southwest Interventional Pain Specialists, PC | Pain Medicine | 4700 Jefferson Ne, Suite 700, Albuquerque, NM 87109-2132 | 2007-05-21 |
| 1326330739 | Timothy E. Hansen, D.o., P.a. | Pain Medicine | 3860 Masthead St Ne, Albuquerque, NM 87109-4479 | 2011-05-04 |
| 1205014693 | Pain Solutions LLC | Pain Medicine | 8080 Academy Rd Ne, Suite A, Albuquerque, NM 87111-1159 | 2008-02-07 |
| 1922190040 | Charles F Pace | Pain Medicine | 4824 Mcmahon Blvd Nw, Suite 119, Albuquerque, NM 87114-5412 | 2006-09-28 |
| 1669495834 | Craig Stephen Nairn | Pain Medicine | 8080 Academy Rd Ne, Suite A, Albuquerque, NM 87111-1159 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790002830 | Jose Luis Ramirez | Pain Medicine | 780 S Walnut St Bldg 3, Las Cruces, NM 88001-1425 | 2010-04-29 |
| 1396930152 | Carlsbad Spine Pain Sports Medicine PC | Pain Medicine | 2319 W Pierce St, Carlsbad, NM 88220-3515 | 2007-09-13 |
| 1851432835 | Jonas R. Skardis | Pain Medicine | 460 Saint Michaels Dr Ste 200, Santa Fe, NM 87505-7686 | 2007-02-10 |
| 1598939555 | John A Flores Md LLC | Pain Medicine | 2902 Hillrise Dr, Las Cruces, NM 88011-4702 | 2008-04-21 |
| 1679535298 | Thaddeus Alexas Ray | Pain Medicine | 2500 Farmington Ave, Farmington, NM 87401-6002 | 2006-04-06 |
| City | ALBUQUERQUE |
| Zip Code | 87114 |
Please comment or provide details below to improve the information on INTERVENTIONAL PAIN SPECIALISTS OF NEW MEXICO, P.A..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.