4 CORNERS PAIN RELIEF INSTITUTE, LLC – NPI #1033409198
Anesthesiology

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.

4 CORNERS PAIN RELIEF INSTITUTE, LLC is an anesthesiologist located in JOPLIN, MO. NPPES has assigned the NPI number 1033409198 to 4 CORNERS PAIN RELIEF INSTITUTE, LLC on April 11, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “4 CORNERS PAIN RELIEF INSTITUTE, LLC” is a dba name, the actual legal business name for this organization is FOUR STATES PAIN RELIEF INSTITUTE, LLC. The primary taxonomy selected by this provider is 207LP2900X from the Health Care Provider Taxonomy code set, which is classified as Anesthesiology, specializing in Pain Medicine

The NPI profile was previously updated about 13 years ago on Aug 08, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 4 CORNERS PAIN RELIEF INSTITUTE, LLC below.

NPI Profile for
FOUR STATES PAIN RELIEF INSTITUTE, LLC

NPI Number
1033409198
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FOUR STATES PAIN RELIEF INSTITUTE, LLC
Doing Business As (dba): 4 CORNERS PAIN RELIEF INSTITUTE, LLC
Primary location
2650 E 32ND ST
SUITE 101
JOPLIN, MO 64804-4313
Phone: (417) 624-4277 Fax: (417) 624-4297
Mailing address
1515 E 32ND ST
STE B
JOPLIN, MO 64804-2905
Phone: (417) 624-4277 Fax: (417) 624-4297
Organization Subpart
No
Authorized Official
JOHN KNUDSEN III
OWNER
Phone: (417) 624-4277
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207LP2900X
- Anesthesiology / Pain Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.