CENTER FOR PAIN MANAGEMENT
NPI 1548422876
Anesthesiology - Pain Medicine in Kingman, AZ
- Organization
- Anesthesiology
- Pain Medicine
About CENTER FOR PAIN MANAGEMENT
This page provides the complete NPI Profile along with additional information for Center For Pain Management, a provider established in Kingman, Arizona operating as a Anesthesiology, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1548422876 assigned on June 2008. The practitioner's primary taxonomy code is 207LP2900X with license number 26067 (AZ). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Center For Pain Management. The authorized official of this NPI record is Mrs. Tammy R Shaffer (Administrator)
- NPI
- 1548422876 Verify this NPI
- Provider Legal Name
- CHARLES H. TADLOCK, M.D. LTD.
- Other Organization Name
- CENTER FOR PAIN MANAGEMENT
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1912 MIAMI AVE KINGMAN, AZ 86401
- Location Phone
- (702) 474-0200
- Location Fax
- (702) 946-5328
- Mailing Address
- 6725 S EASTERN AVE SUITE 6 LAS VEGAS, NV 89119
- Mailing Phone
- (702) 474-0200
- Mailing Fax
- (702) 946-5328
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-27-2008
- Last Update Date
- 02-18-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Anesthesiology Pain Medicine
- Taxonomy Code
- 207LP2900X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 26067
- License State
- AZ
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 4873 (AZ) |
| 2 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | AP4247 (AZ) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| Z146133 | OTHER (01) | AZ | MEDICARE PIN GERALD JONES, PA-C |
| Z149395 | OTHER (01) | AZ | MEDICARE PIN JULIE BROWN, FNP |
| 720000127 | OTHER (01) | AZ | RR MEDICARE |
| 069618 | MEDICAID (05) | AZ | |
| 35713 | MEDICARE PIN (08) | AZ | |
| 35714 | OTHER (01) | AZ | MEDICARE INDIVIDUAL PIN (TADLOCK) |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548422876, enumerated as an "organization" on June 27, 2008.
The provider is located at 1912 MIAMI AVE KINGMAN, AZ 86401 and the phone number is (702) 474-0200.
Anesthesiology with taxonomy code 207LP2900X and a focus in Pain Medicine.
The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.