PCA PAIN CARE CENTER
NPI 1982996567
Anesthesiology - Pain Medicine in Jackson, MS

Active since May 13, 2011
1501 LAKELAND DR STE 251, JACKSON, MS 39216(601) 321-8000(601) 321-8001 Get Directions Write a Review

NPPES record last updated: September 29, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pca Pain Care Center NPPES

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

PCA PAIN CARE CENTER (NPI 1982996567) is a healthcare organization registered as a pain medicine in Jackson, Mississippi and active in the NPI registry since May 2011. The organization lists Bruce Costello, Franchisee, as its authorized official.

NPPES Registry Identity

NPI1982996567
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameMB COSTELLO ENTERPRISES LLC
Location Address1501 LAKELAND DR STE 251Jackson, MS 39216-4848
Mailing Address1501 Lakeland Dr, Suite 251Jackson, MS 39216-4834 · (601) 320-8000 · Fax (601) 320-8001
Fax(601) 321-8001
Organization SubpartNo
Authorized OfficialBruce CostelloFranchisee · (404) 354-3111
Enumeration DateMay 13, 2011
Last NPPES UpdateSeptember 29, 2011
NPI 1982996567 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.
1501 LAKELAND DR STE 251, Jackson, MS 39216

Other Names 1

Doing Business AsPca Pain Care Center

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

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

Ophthalmology
1501 LAKELAND DR STE 251
JACKSON, MS 39216

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 Mb Costello Enterprises LLC's NPI number?

The NPI number for Mb Costello Enterprises LLC is 1982996567. It was assigned to this organization in the NPPES registry on May 13, 2011. The provider is doing business as Pca Pain Care Center.

Where is Mb Costello Enterprises LLC located?

Mb Costello Enterprises LLC is located at 1501 Lakeland Dr Ste 251, Jackson, MS 39216. The listed phone number is (601) 321-8000.

What is Mb Costello Enterprises 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 Mb Costello Enterprises LLC was last updated on September 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.