PRO PAIN LLC
NPI 1649735879
Anesthesiology - Pain Medicine in Saint Peters, MO

Q: What is Pro Pain LLC's NPI number?

The NPI number for Pro Pain LLC is 1649735879. It was assigned to this organization in the NPPES registry on February 1, 2019.

Q: What is Pro Pain LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Pro Pain LLC was last updated on February 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since February 01, 2019

4800 MEXICO RD STE 101, SAINT PETERS, MO 63376(636) 442-5035 Get Directions Write a Review

NPPES record last updated: February 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Pro Pain Llc NPPES

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

PRO PAIN LLC (NPI 1649735879) is a healthcare organization registered as a pain medicine in Saint Peters, Missouri and active in the NPI registry since February 2019. The organization lists Michael Scott Boedefeld, Owner, as its authorized official.

NPPES Registry Identity

NPI1649735879

Entity TypeOrganization

Primary Taxonomy207LP2900X

Legal Business NamePRO PAIN LLC

Location Address4800 MEXICO RD STE 101Saint Peters, MO 63376-1666

Mailing Address4800 Mexico Rd Ste 101Saint Peters, MO 63376-1666 · (636) 442-5035

Phone(636) 442-5035

Organization SubpartNo

Authorized OfficialMichael Scott BoedefeldOwner · (636) 442-5035

Enumeration DateFebruary 1, 2019

✔ NPI 1649735879 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.

4800 MEXICO RD STE 101, Saint Peters, MO 63376

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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 5

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

DR. CHAD CONRAD SHELTON MD

Anesthesiology (Pain Medicine)