CENTER FOR PAIN MANAGEMENT
NPI 1548422876
Anesthesiology - Pain Medicine in Kingman, AZ

Active since June 27, 2008
1912 MIAMI AVE, KINGMAN, AZ 86401(702) 474-0200(702) 946-5328 Get Directions Write a Review

NPPES record last updated: February 18, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • 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
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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)
1363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

4873 (AZ)
2363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. TAMMY R SHAFFER

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(702) 474-0200

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
Z146133OTHER (01)AZMEDICARE PIN GERALD JONES, PA-C
Z149395OTHER (01)AZMEDICARE PIN JULIE BROWN, FNP
720000127OTHER (01)AZRR MEDICARE
069618MEDICAID (05)AZ 
35713MEDICARE PIN (08)AZ 
35714OTHER (01)AZMEDICARE INDIVIDUAL PIN (TADLOCK)

Reviews for CENTER FOR PAIN MANAGEMENT

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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.