ST. THOMAS PAIN ASSOCIATES, LLC (NPI# 1447430665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447430665 |
| Entity Type | Organization |
| Organization Name | ST. THOMAS PAIN ASSOCIATES, LLC |
| Practice Address |
225 S Executive Dr Brookfield WI 53005-4257 |
| Practice Telephone | 2627874026 |
| Practice Fax Number | 2627826040 |
| Mailing Telephone | 2627874026 |
| Mailing Fax Number | 2627826040 |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2008-07-02 |
| Authorized Official Name | DR. DERRICK JONES (PRESIDENT) |
| Authorized Official Telephone | 3409983668 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
225 S EXECUTIVE DR |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53005-4257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730177353 | Lowell H. Keppel | Family Medicine | 225 S Executive Dr, Brookfield, WI 53005-4266 | 2005-10-07 |
| 1790135457 | Dylan Bray | Anesthesiologist Assistant | 225 S Executive Dr, Brookfield, WI 53005-4257 | 2016-06-14 |
| 1821459710 | Justin Matthew Kitson | Anesthesiologist Assistant | 225 S Executive Dr, Brookfield, WI 53005-4257 | 2016-03-19 |
| 1225410442 | Tia Covington | Anesthesiologist Assistant | 225 S Executive Dr, Brookfield, WI 53005-4257 | 2015-06-24 |
| 1760647515 | St. Thomas Pain, LLC | Anesthesiology | 225 S Executive Dr, Brookfield, WI 53005-4257 | 2008-07-22 |
| 1457512972 | William C. Rouman | Anesthesiology | 225 S Executive Dr, Brookfield, WI 53005-4257 | 2008-06-18 |
| 1912189432 | Nevenka T Kevich | Anesthesiology | 225 S Executive Dr, Brookfield, WI 53005-4257 | 2007-11-27 |
| 1790964435 | Professional Pain Management, S.c. | Anesthesiology | 225 S Executive Dr, Brookfield, WI 53005-4257 | 2007-10-30 |
| 1255423703 | Physicians Accounting, Ltd | Anesthesiology | 225 S Executive Dr, Brookfield, WI 53005-4266 | 2006-09-29 |
| 1578589156 | Linda S. Bluestein | Anesthesiology | 225 S Executive Dr, Brookfield, WI 53005-4257 | 2006-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
| 1033772124 | Dbt Consultants LLC | Social Worker | 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 | 2019-04-15 |
| 1780142588 | Ashley Wing | Registered Nurse | 405 Bishops Way, Apt 555, Brookfield, WI 53005 | 2019-03-11 |
| 1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
| 1720509045 | Rss William Conner LLC | Dentist | 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 | 2017-06-28 |
| 1669926598 | Mackenzie Rondeau | Physical Therapist | 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 | 2016-08-09 |
| 1699159319 | Charles Alan Kass | Dentist | 12720 W. North Avenue, Brookfield, WI 53005 | 2015-07-13 |
| 1164804274 | Mary-catherine Nimphius | Counselor | 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 | 2015-06-25 |
| 1528447034 | Weighless Md, LLC | Dietitian, Registered | 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 | 2015-05-29 |
| 1366837346 | Maegan Michelle Cook | Dentist | 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 | 2015-04-06 |
| Find all providers in zip 53005 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598032328 | Great Midwest Pain Specialists, S.c. | Anesthesiology | 17495 W Capitol Dr, Brookfield, WI 53045-2059 | 2011-11-22 |
| 1760647515 | St. Thomas Pain, LLC | Anesthesiology | 225 S Executive Dr, Brookfield, WI 53005-4257 | 2008-07-22 |
| 1255494985 | Pain Management Consultants of Milwaukee, S.c. | Anesthesiology | 125 N Executive Dr, Suite 108, Brookfield, WI 53005-6070 | 2006-12-17 |
| 1316009046 | Mehran Heydarpour | Anesthesiology | 19475 W North Ave, Brookfield, WI 53045-4199 | 2006-12-16 |
| 1255423703 | Physicians Accounting, Ltd | Anesthesiology | 225 S Executive Dr, Brookfield, WI 53005-4266 | 2006-09-29 |
| 1942257902 | Brookfield Anesthesiologists, S.c. | Anesthesiology | 19333 W North Ave, Brookfield, WI 53045-4132 | 2006-05-27 |
| 1164479929 | Steven K Nakata Md Sc | Anesthesiology | 19333 W North Ave, Brookfield, WI 53045-4132 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700309101 | Wisconsin Interventional Pain Solutions Sc | Anesthesiology | 2500 N Mayfair Rd Ste 325, Wauwatosa, WI 53226-1443 | 2017-07-18 |
| 1528402781 | Aspen Wellness and Pain Medicine Center | Anesthesiology | W176n9830 Rivercrest Dr Ste 102, Germantown, WI 53022-4692 | 2013-04-18 |
| 1720307283 | Andres Fernando Quitzon Jr. | Anesthesiology | 2245 W Brantwood Ave, Milwaukee, WI 53209 | 2010-05-24 |
| 1861688418 | Horizon Interventional Pain Physicians, Sc | Anesthesiology | 7071 S 13th St, Suite # 102, Oak Creek, WI 53154-1466 | 2007-09-18 |
| 1992800791 | Interventional Pain Specialists of Wisconsin, Sc | Anesthesiology | 2021 Cenex Dr, Suite J, Rice Lake, WI 54868-1891 | 2006-09-14 |
| 1275500910 | Saleem Awan | Anesthesiology | 4570 S 27th St, Milwaukee, WI 53221-2145 | 2006-03-01 |
| 1871560581 | Yogendra Bharat | Anesthesiology | 2500 W Layton Ave Ste 170, Milwaukee, WI 53221-5433 | 2006-03-01 |
| 1871569830 | Roman Berezovski | Anesthesiology | 4131 W. Loomis Rd., Ste 300, Greenfield, WI 53221-2059 | 2006-02-28 |
| 1598762841 | Nathan C Meloy | Anesthesiology | 2700 W 9th Ave, Suite 205, Oshkosh, WI 54904-7247 | 2005-07-01 |
| 1922457803 | Holly Haberman | Anesthesiology | 710 Riverside Dr, Waupaca, WI 54981-1941 | 2016-06-10 |
| Find all providers with the same taxonomy | ||||
| City | BROOKFIELD |
| Zip Code | 53005 |
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| 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.