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PRO PAIN LLC
NPI 1205339074
Anesthesiology - Pain Medicine in Fenton, MO

Active since March 17, 2018
1055 BOWLES AVE STE 202, FENTON, MO 63026(636) 326-7821 Get Directions Write a Review

NPPES record last updated: December 6, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 6, 2018, Aug 22, 2018, Mar 17, 2018 (3 updates tracked since 2018).

About Pro Pain Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRO PAIN LLC (NPI 1205339074) is a healthcare organization registered as a pain medicine in Fenton, Missouri and active in the NPI registry since March 2018. The organization maintains a secondary practice location in Saint Peters and lists Michael Boedefeld, Owner, as its authorized official.

NPPES Registry Identity

NPI1205339074
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NamePRO PAIN LLC
Location Address1055 BOWLES AVE STE 202Fenton, MO 63026-2308
Mailing Address4800 Mexico Rd Ste 101Saint Peters, MO 63376-1666 · (636) 442-5035
Phone(636) 326-7821
Organization SubpartNo
Authorized OfficialMichael BoedefeldOwner · (636) 442-5035
Enumeration DateMarch 17, 2018
Last NPPES UpdateDecember 6, 20183 updates tracked since enumeration
✔ NPI 1205339074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
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.
1055 BOWLES AVE STE 202, Fenton, MO 63026
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Secondary Practice Location 1

Location 14800 Mexico RdSaint Peters, MO 63376 · Phone (636) 442-5036

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL SCOTT BOEDEFELD MD
Anesthesiology (Pain Medicine)
1055 BOWLES AVE STE 202
FENTON, MO 63026
St. Louis County (636) 386-7222
MR. RYAN HARRIS FNP-C
Nurse Practitioner (Family)
1055 BOWLES AVE STE 202
FENTON, MO 63026
St. Louis County (636) 326-7821

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pro Pain LLC's NPI number?

The NPI number for Pro Pain LLC is 1205339074. It was assigned to this organization in the NPPES registry on March 17, 2018.

Where is Pro Pain LLC located?

Pro Pain LLC is located at 1055 Bowles Ave Ste 202, Fenton, MO 63026. The listed phone number is (636) 326-7821.

What is Pro Pain LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

What insurance does Pro Pain LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Pro Pain LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pro Pain LLC was last updated on December 6, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.