PROFESSIONAL PAIN PHYSICIANS
NPI 1487980660
Anesthesiology - Pain Medicine in Saint Louis, MO

Active since October 23, 2009
10012 KENNERLY RD, SUITE 404, SAINT LOUIS, MO 63128(314) 729-7100(314) 729-0292 Get Directions Write a Review

NPPES record last updated: November 16, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Professional Pain Physicians NPPES

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

PROFESSIONAL PAIN PHYSICIANS (NPI 1487980660) is a healthcare organization registered as a pain medicine in Saint Louis, Missouri and active in the NPI registry since October 2009. The organization lists Michael Scott Boedefeld, Partner, as its authorized official.

NPPES Registry Identity

NPI1487980660
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NamePROFESSIONAL PHYSICIANS PAIN SERVICES, LLC
Location Address10012 KENNERLY RD, SUITE 404Saint Louis, MO 63128-2197
Mailing AddressPo Box 31434Saint Louis, MO 63131-0434 · (314) 729-7100 · Fax (314) 729-0292
Fax(314) 729-0292
Organization SubpartNo
Authorized OfficialMichael Scott BoedefeldPartner · (314) 729-7100
Enumeration DateOctober 23, 2009
Last NPPES UpdateNovember 16, 2009
NPI 1487980660 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.
10012 KENNERLY RD, Saint Louis, MO 63128

Other Names 1

Doing Business AsProfessional Pain Physicians

Other Identifiers 3

Medicare UPINF62832MO
Medicare UPINI28749MO
Medicare UPINI58101MO

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

Other Providers at the Same Location NPPES 20

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

Internal Medicine
10012 KENNERLY RD, SUITE 102
SAINT LOUIS, MO 63128
Internal Medicine (Gastroenterology)
10012 KENNERLY RD, SUITE 404
SAINT LOUIS, MO 63128
Nurse Practitioner (Family)
10012 KENNERLY RD, SUITE 300
SAINT LOUIS, MO 63128
Obstetrics & Gynecology
10012 KENNERLY RD, STE 405
SAINT LOUIS, MO 63128
Nurse Practitioner (Adult Health)
10012 KENNERLY RD, SUITE 204
SAINT LOUIS, MO 63128
Surgery
10012 KENNERLY RD, SUITE 406
SAINT LOUIS, MO 63128
Internal Medicine (Cardiovascular Disease)
10012 KENNERLY RD, STE 300
SAINT LOUIS, MO 63128
Internal Medicine (Cardiovascular Disease)
10012 KENNERLY RD, STE 300
SAINT LOUIS, MO 63128

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 Professional Physicians Pain Services, LLC's NPI number?

The NPI number for Professional Physicians Pain Services, LLC is 1487980660. It was assigned to this organization in the NPPES registry on October 23, 2009. The provider is doing business as Professional Pain Physicians.

Where is Professional Physicians Pain Services, LLC located?

Professional Physicians Pain Services, LLC is located at 10012 Kennerly Rd Suite 404, Saint Louis, MO 63128. The listed phone number is (314) 729-7100.

What is Professional Physicians Pain Services, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Professional Physicians Pain Services, LLC was last updated on November 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.