Provider Demographics
NPI:1134653991
Name:AMERICAN PAIN ASSOCIATES
Entity Type:Organization
Organization Name:AMERICAN PAIN ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:III
Authorized Official - Credentials:MBA
Authorized Official - Phone:910-687-6187
Mailing Address - Street 1:695 S BENNETT ST
Mailing Address - Street 2:
Mailing Address - City:SOUTHERN PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28387-5919
Mailing Address - Country:US
Mailing Address - Phone:910-687-6187
Mailing Address - Fax:888-491-3133
Practice Address - Street 1:695 S BENNETT ST
Practice Address - Street 2:
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28387-5919
Practice Address - Country:US
Practice Address - Phone:910-687-6187
Practice Address - Fax:888-491-3133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-18
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty