PAIN FACILITY MANAGEMENT LLC (NPI# 1891018933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891018933 |
| Entity Type | Organization |
| Organization Name | PAIN FACILITY MANAGEMENT LLC |
| Other Organization Name | INDUSTRIAL MEDICINE SPECIALISTS |
| Practice Address |
1849 Barataria Blvd Marrero LA 70072-4203 |
| Mailing Address |
3348 W Esplanade Ave S Suite A Metairie LA 70002-3475 |
| Practice Telephone | 5042077555 |
| Practice Fax Number | 5042077556 |
| Mailing Telephone | 5048877207 |
| Mailing Fax Number | 5048891868 |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2013-06-17 |
| Authorized Official Name | MR. RENE JOSEPH MIRE (CFO) |
| Authorized Official Telephone | 5048877207 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Industrial Medicine Specialists | Doing Business As Name - Organization |
| Street Address |
1849 BARATARIA BLVD |
| City | MARRERO |
| State | LA |
| Zip Code | 70072-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457388035 | Alexis M Waguespack | Orthopaedic Surgery | 1849 Barataria Blvd, Suite C, Marrero, LA 70072-4203 | 2006-06-27 |
| 1972953271 | Joelle Fabian | Physician Assistant | 1849 Barataria Blvd, Marrero, LA 70072-4273 | 2016-06-16 |
| 1821269267 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 1849 Barataria Blvd, Marrero, LA 70072-4273 | 2008-03-13 |
| 1467540179 | Spinecare Medical Group | Specialist | 1849 Barataria Blvd, Suite C, Marrero, LA 70072-4273 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780232579 | Brittany Inez Young | Technician | 4465 Bay View Drive, Marrero, LA 70072 | 2019-08-27 |
| 1356829774 | Zachary Allen Runge Kleinpeter | Physician Assistant | 1111 Medical Center Blvd Ste S630, Marrero, LA 70072 | 2018-07-30 |
| 1689172611 | Derron White | Specialist | 2324 Barataria Blvd, Marrero, LA 70072 | 2018-01-24 |
| 1477064616 | Bone & Joint, LLC Physical Therapy | Physical Therapist | 4633 Wichers Dr., Marrero, LA 70072 | 2017-10-16 |
| 1477077410 | Darlene Jenkins | Case Manager/Care Coordinator | 7606 Westbank Expy Ste B, Marrero, LA 70072 | 2017-08-01 |
| 1871017186 | Tyra K Haynes | Non-emergency Medical Transport (VAN) | 536 Westwood Drive, Marrero, LA 70072 | 2017-07-28 |
| 1265961536 | Danika Kayelle Frank | Social Worker | 6189 Boutte St, Marrero, LA 70072 | 2017-06-08 |
| 1528596673 | Monica Cheree Mayberry | Counselor | 931 Westwood Dr., Marrero, LA 70072 | 2017-06-01 |
| 1710419197 | Sharla Black | Counselor | 2069 Paine Drive, Marrero, LA 70072 | 2017-04-03 |
| 1699207043 | Tango Austin | Counselor | 2573 Foliage Drive, Marrero, LA 70072 | 2017-04-03 |
| Find all providers in zip 70072 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457675472 | Ky Vu Nguyen | Emergency Medicine | 4410 4th St, Marrero, LA 70072-2136 | 2010-03-19 |
| 1851535389 | Ruth Ellen Foster | Emergency Medicine | 4837 Lapalco Blvd, Marrero, LA 70072-4325 | 2009-04-28 |
| 1851785778 | Shaden Murad | Emergency Medicine | 1101 Medical Center Blvd, Marrero, LA 70072 | 2015-03-28 |
| 1467879981 | Michael Iacono | Emergency Medicine | 1101 Medical Center Blvd, Marrero, LA 70072-3147 | 2014-03-21 |
| 1063851707 | Daniel C Kolinsky | Emergency Medicine | 1101 Medical Center Blvd., Er, Marrero, LA 70072 | 2013-06-16 |
| 1740556000 | William Casey Frew | Emergency Medicine | 1101 Medical Center Blvd., Er, Marrero, LA 70072 | 2012-03-30 |
| 1962669481 | Megan Larose Landry | Emergency Medicine | 1101 Medical Center Blvd, Marrero, LA 70072-3147 | 2008-05-21 |
| 1073770582 | Scott Michael Zainey | Emergency Medicine | 1101 Medical Center Blvd., Emergency Department, Marrero, LA 70072 | 2008-05-21 |
| 1154502029 | Mark R. Rice | Emergency Medicine | 1101 Medical Ctr. Blvd., Er, Marrero, LA 70072 | 2007-11-20 |
| 1518155829 | Katherine S. Ryan | Emergency Medicine | 1101 Medical Center Blvd., Er, Marrero, LA 70072 | 2007-10-11 |
| Find all providers in MARRERO | ||||
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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.