Provider Type Icon

PAIN CLINIC OF SHELBY PC NPI 1639135387


NPI Information

NPI: 1639135387
Provider Name: PAIN CLINIC OF SHELBY, PC
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 34D2160711

Address:
1112 YANCEY ST
SHELBY, NC
ZIP 28150
Phone: (704) 481-0171
Get Directions

PAIN CLINIC OF SHELBY, PC is a pain medicine anesthesiology in Shelby, NC. The provider is 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. PAIN CLINIC OF SHELBY, PC NPI is 1639135387. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1112 YANCEY ST
SHELBY, NC
ZIP 28150-672
Phone: (704) 481-0171
Fax: (704) 481-0178

The provider's authorized official is Harrison G Frank .
The authorized official title is Owner and has the following contact phone number (704) 481-0171.

The CLIA number assigned to this NPI record is 34D2160711 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/21/2006 and was last updated on 3/29/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207LP2900XAnesthesiologyPain MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
123228342MEDICARE PINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.