ADVANCED PAIN MANAGEMENT PA – NPI #1639413347
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.

Health Care Provider Taxonomy Code for Anesthesiology

ADVANCED PAIN MANAGEMENT PA is an anesthesiologist located in INDEPENDENCE, MO. NPPES has assigned the NPI number 1639413347 to ADVANCED PAIN MANAGEMENT PA on November 19, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 5 years ago on Sep 28, 2021. 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 ADVANCED PAIN MANAGEMENT PA below.

NPI Profile for
ADVANCED PAIN MANAGEMENT PA

NPI Number
1639413347
Enumeration Date

(more than 13 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
ADVANCED PAIN MANAGEMENT PA
Primary location
C/O CENTERPOINT MEDICAL CENTER
19550 E 39TH ST, STE 110
INDEPENDENCE, MO 64057-2353
Phone: (816) 698-8900 Fax: (816) 698-8905
Mailing address
3604 SADDLE RIDGE
INDEPENDENCE, MO 64057-2332
Phone: (913) 302-2703 Fax:
Organization Subpart
No
Authorized Official
SHIRLEY DEHARDT
PRACTICE ADMINISTRATOR
Phone: (913) 302-2703
Updated
Certification Date
Sep 28, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.