Provider Demographics
NPI:1639354277
Name:COMPLETE PAIN CARE, LLC
Entity Type:Organization
Organization Name:COMPLETE PAIN CARE, LLC
Other - Org Name:COMPLETE SPINE AND PAIN CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JANET
Authorized Official - Middle Name:D
Authorized Official - Last Name:PEARL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-665-4344
Mailing Address - Street 1:600 WORCESTER RD STE 301
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-5316
Mailing Address - Country:US
Mailing Address - Phone:508-665-4344
Mailing Address - Fax:508-665-4355
Practice Address - Street 1:600 WORCESTER RD STE 301
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-5316
Practice Address - Country:US
Practice Address - Phone:508-665-4344
Practice Address - Fax:508-665-4355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-02
Last Update Date:2019-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA156037208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2381497OtherAETNA
MAJ18472OtherBLUE CROSS/BLUE SHIELD
MAG79299OtherHARVARD PILGRIM
MAJ19458OtherMEDICARE ADVANTAGE, PPO
MA1717907OtherAETNA HMO
MA0500796269OtherRRMC
MA156037OtherTUFTS
MA1779373OtherUNITED
MA7271010OtherAETNA NON-HMO
MAA28830OtherMEDICARE ID TYPE UNSPECIFIED
MA1543040OtherFIRST HEALTH
MA3175090Medicaid
MA=========OtherGREAT WEST HEATLHCARE
MAJ18472OtherBLUE CROSS/BLUE SHIELD
MAJ19458OtherMEDICARE ADVANTAGE, PPO
MA2381497OtherAETNA