LAUREL PAIN CLINIC PA


Address: 1706 W 12th St, Laurel, MS 39440-2559
Phone: 6013692021

LAUREL PAIN CLINIC PA (NPI# 1811098874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811098874
Entity Type Organization
Organization Name LAUREL PAIN CLINIC PA
Practice Address 1706 W 12th St
Laurel
MS 39440-2559
Practice Telephone 6013692021
Mailing Telephone 6013692021
Enumeration Date 2006-09-25
Last Update Date 2012-11-06
Authorized Official Name ASHLEY N BUIE (BILLING SUPERVISOR)
Authorized Official Telephone 6018987530
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
16318 MS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS 09987586 05
MS RAILROAD MEDICARE DF1770 01

Office Location

Street Address 1706 W 12TH ST
City LAUREL
State MS
Zip Code 39440-2559

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306323159 Tender Loving Care Homecare LLC Homemaker 509 Central Ave Ste 224, Laurel, MS 39440 2018-07-24
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1215282991 South Central Regional Medical Center Clinic/Center 525 Wayne Drive, Laurel, MS 39440 2012-07-18
1568721215 Terry Ratcliff Perkins Counselor 5192 Hwy 11 North, Laurel, MS 39440 2012-05-15
1437453057 Alexander Milne Home for Women Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 616 East 19th Street, Laurel, MS 39440 2010-12-23
1710135629 Jeffrey R. Moffett Nurse Practitioner 3115 Audubon Dr, Laurel, MS 39440 2008-09-04
1003096785 Family Health Center, Inc Obstetrics & Gynecology 103 S. 12th Avenue, Laurel, MS 39440 2007-11-09
1669672143 Laurel Urology Clinic Pa Urology 304 S 10th Ave, Laurel, MS 39440 2007-07-23
1093912370 Tanweer Hussain Majid Surgery 1007 Jefferson Street, Laurel, MS 39440 2007-06-29
1780889923 Hattiesburg Eye Clinic, Pa Ophthalmology 1431 North 10th St, Suite 1, Laurel, MS 39440 2007-06-18
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Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508384116 Zainab Bundu Pain Medicine 135 Bowie Rd, Laurel, MD 20707-4631 2017-09-04
1083899884 Michele Lorraine Martin Pain Medicine 14205 Park Center Dr, Suite 204, Laurel, MD 20707-5246 2007-12-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639317274 Robert A Wiemer Jr. Pain Medicine 528-f Klondike Road, Long Beach, MS 39560 2009-02-03
1922218627 Robert Fortier Bensen Pain Medicine 445 Security Sq, Gulfport, MS 39507-1922 2007-05-23
1922092881 Eric Pearson Pain Medicine 1001 14th St, Meridian, MS 39301-4458 2005-09-07
1497752760 Fani B Manney Pain Medicine #4 Doctors Dr, Suite C, Ocean Springs, MS 39564 2005-07-01
1417953050 Steven Thomas Richey Pain Medicine 122 Airways Pl, Southaven, MS 38671-5872 2005-06-27
1316558893 Mississippi Pain Management, Pllc Pain Medicine 1080 River Oaks Dr Ste B103, Flowood, MS 39232-7602 2020-08-10
1083193031 Bacas Interventional Pain Management, LLC Pain Medicine 1430 Highway 4 E, Holly Springs, MS 38635-2140 2018-08-10
1356848014 Flowood Pain Center, LLC Pain Medicine 120 Stone Creek Blvd Ste 500, Flowood, MS 39232-8210 2018-04-10
1134596760 Pain Partners, LLC Pain Medicine 1001 14th St, Meridian, MS 39301-4458 2015-08-31
1124452859 St Dominic Medical Associates LLC Pain Medicine 970 Lakeland Dr, Suite 45, Jackson, MS 39216-4635 2013-08-29
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Competitor

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City LAUREL
Zip Code 39440

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Dataset Information

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.

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